在超肥胖患者中进行无心脏起器植入
Michele Malagù1, Emanuele D'Aniello1, Francesco Vitali1
1Cardiology Unit, Sant'Anna Hospital, University of Ferrara, 44124 Ferrara, Italy.
Reviews in cardiovascular medicine
|July 30, 2024
概括
在超肥胖患者中,无心脏起器植入是安全有效的. 手术的股骨静脉接入促进了成功的植入,克服了这个患者群体的挑战.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 减肥医学 减肥医学
背景情况:
- 一名70岁超重的男性 (230公斤) 出现了由于心房与心房交替的失眠而导致的复发性昏迷.
- 由于患者的体重和解剖学,传统的起器植入具有挑战性.
研究的目的:
- 评估无心脏起器植入超肥胖患者的可行性和安全性.
- 描述成功植入所需的多学科方法.
主要方法:
- 右股骨静脉的外科隔离是由血管外科医生进行的.
- 通过穿透导管插入无心脏起器设备,通过通过大腿静脉进入可转向输送系统.
主要成果:
- 无心脏起器的成功植入没有任何并发症.
- 血管接入,光学指导和设备询问都得到了有效的管理.
结论:
- 无心脏起器植入是超肥胖患者的可行和安全的选择.
- 在这个患者群体中,该程序不受血管接入,光学或设备审讯方面的挑战限制.
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