选择性开放胸部提取的指示和结果
Anshul R Gupta1, John R Power2, Yang Yang2
1Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Journal of cardiovascular electrophysiology
|September 6, 2024
概括
选择性开放取 (OLE) 是一种安全的程序,用于移除心血管植入式电子设备的,特别是在需要门干预或有高风险的透静取的情况下. 结果显示成功率和生存率很高.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 电子生理学 电子生理学
背景情况:
- 心血管植入式电子设备 (CIED) 的并发症可能需要去除.
- 开放式提取是高风险患者或需要同时进行心脏手术的患者的选择.
研究的目的:
- 在两个三级保健中心的患者中调查选择性开放提取 (OLE) 的结果.
主要方法:
- 对29名接受选择性OLE的患者进行了回顾性图表审查.
- 分析的特性,提取原因,程序结果和生存率.
主要成果:
- 从29名患者中提取了69个线索; 77%的线索完全被删除.
- 常见的适应症包括感染性内心炎 (41%) 和三门干预 (38%).
- 主要并发症和手术失败率较低 (分别为3%);30天和1年生存率分别为100%和92%.
结论:
- 选择性开放的提取证明了97%的临床成功率.
- 对于需要门干预或有高风险通过静脉取的患者来说,OLE是一种可行的替代方案.
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