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微型无心脏起器修订:多中心法国队列的发病率,特征和结果
Peggy Jacon1, Mouna Benkilani2, Arnaud Bisson3
1Department of Cardiology, University Hospital of Grenoble Alpes, 38043 Grenoble, France.
概括
无心脏起器修改不常见,大多数都没有去除. 然而,移除设备是安全和成功的,这表明它可能在无心脏起器护理中未得到充分利用.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 电力生理学 电力生理学
背景情况:
- 无心脏起器 (LLP) 是需要心室节奏的选择性患者的选择.
- 关于LLP的修订程序,包括设备移除的数据是有限的.
研究的目的:
- 评估LLP修订的实际影响,特征和结果.
- 在修改程序期间评估无心脏起器移除的可行性和安全性.
主要方法:
- 一个多中心的回顾性研究8994微型LLP植入在2015年至2023年期间在46个法国中心.
- 分析了100个修改程序,比较了设备移除和不移除的结果.
主要成果:
- 1.1%的LLP (100个设备) 需要修改,其中70个没有删除,30个涉及删除.
- 常见的修改指示是设备升级 (55%) 和高节奏值 (33%).
- 移除设备在97%的病例中是成功的,没有重大并发症,比没有移除的修订更早发生.
结论:
- 无心脏起器的修改很少发生,通常在不需要移除设备的情况下进行.
- 移除设备是一种安全且非常成功的选择,但可能未得到充分利用.
- 建议逐案考虑无心脏起器的移除.
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