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在使用常规心脏起器系统的极端老年患者中使用无起器:在高风险场景中,在没有发电机提取的情况下进行为期两年的随访病例系列
Man Fong Chu1, Weng Chio Tam1, Kuok Wun Lam1
1Cardiology, Centro Hospitalar Conde São Januário, Macau, MAC.
Cureus
|September 17, 2024
概括
植入无心脏起器与现有的输血系统一起,对于高风险的老年患者来说是安全的. 这种方法避免了发生器更换的并发症,在两年内显示稳定的参数.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 老年病的医生 老年病的医生
背景情况:
- 无心脏起器为高风险的老年患者提供了更安全的配置,有通过静脉输入心脏起器并发症的高风险.
- 这项研究调查了无心脏起器的替代用途,而不需要移除现有的透静脉系统.
研究的目的:
- 评估在非常老年,高风险患者中植入无心脏起器的安全性和有效性,而无需切除输静脉发电机.
- 在两年后续期间评估与程序相关的并发症,临床结果和设备参数稳定性.
主要方法:
- 11名患者 (85岁及以上) 的回顾病例系列,接受了无心脏起器 (Micra) 植入而没有通过静脉取出发电机.
- 在两年内对主要终点 (并发症,结果) 和二次终点 (参数稳定性,设备干扰) 的评估.
主要成果:
- 无心脏起器植入在住院期间没有出现重大并发症或不良结果.
- 八名患者完成了为期两年的随访;三人死于非心脏原因.
- 没有观察到心室节律失常或心内捕获干扰;传统发电机电池和无心脏起器参数保持稳定.
结论:
- 植入无心脏起器,而无需通过静脉取出发电机,对于极其老年,高风险患者来说是安全有效的.
- 这种方法是传统发电机更换或在这个人群中重新植入的可行替代方案.
- 对长期结果的进一步研究是有必要的.
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