在非老年人中通过静脉提取的结果:单中心回顾性研究
Toshinori Komatsu1, Ayako Okada1, Morio Shoda1,2
1Department of Cardiology, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
Pacing and clinical electrophysiology : PACE
|August 20, 2024
概括
对于感染心血管植入式电子设备 (CIED) 的透静提取 (TLE) 在非老年人中是安全的. 这项研究发现,90岁及以上的患者进行TLE手术的30天死亡率为0%,成功率高.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 老年医学 老年医学
背景情况:
- 与心血管植入式电子设备 (CIED) 相关的感染病例正在增加.
- 通过静脉取 (TLE) 是对CIED感染的关键干预措施.
- 在非老年人 (90岁及以上的患者) 中TLE结局的数据有限.
研究的目的:
- 评估TLE在非老年患者中的安全性和有效性.
- 在这个特定的老年人群中分析TLE的特征和结果.
主要方法:
- 对12名在2014年至2023年期间接受TLE的非老年患者的回顾性分析.
- 包括患者的人口统计数据,设备细节,感染指示,程序方法和临床结果.
- 分析类型,提取工具,并发症和重新植入策略.
主要成果:
- 12名非老年人 (平均年龄为91) 接受了CIED感染 (口袋感染或败血症) 的TLE.
- 所有手术都是成功的,只有一次轻微的并发症.
- 没有观察到30天死亡率;50%的患者需要CIED再植入,通常使用无心脏起器.
结论:
- 通过静脉取是一种安全有效的程序,用于感染CIEDs的非老年人.
- 年龄本身不应该排除TLE;患者特定的因素决定了适合性.
- 在非老年人中成功的TLE可以带来有利的结果,包括使用先进的节奏技术.
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