临时 - 永久节律器在经管异常的管理中,在接受过导管大动脉置换的患者中使用
Jai Parekh1, Vikram Sharma1, Jared Robl1
1Department of Internal Medicine/Cardiovascular Disease, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
概括
临时永久起器 (TPPM) 对那些心脏阻塞风险较高的经过过导管大动脉置换 (TAVR) 的患者是安全有效的. 这种方法可以防止不必要的永久心脏起器植入,并促进早期出院.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 心脏电生理学 心脏电生理学
背景情况:
- 过导管大动脉置换 (TAVR) 可能导致心脏导电异常,需要永久起器 (PPM) 植入.
- 临时永久起器 (TPPM) 很少在TAVR患者的常规使用中报告.
研究的目的:
- 评估TPPM在TAVR患者的常规使用的实用性和安全性,这些患者有PPM的高风险或具有新的高度导电异常.
- 评估TPPM作为PPM的桥梁或作为临时步调解决方案.
主要方法:
- 在2015年4月至2021年12月期间接受TAVR与TPPM安置的89名患者的回顾性分析.
- TPPMs是在程序前或在TAVR期间/之后放置的.
主要成果:
- 55.1%的患者需要PPM;44.9%的患者已经切除了TPPM.
- 在TPPM中,使用时间平均为6天,并发症率低 (1.1%的脱落).
- 平均逗留时间为3天.
结论:
- 在高危导电异常的TAVR患者中,常规的TPPM使用是可行的和安全的.
- TPPM可以实现早期行走,促进早期出院,并避免不必要的PPM植入.
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