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在一个患有中央低通风综合征的青少年身上植入过状无心脏起器:一个案例报告
Marzia Giaccardi1,2, Gulio Porcedda2, Zaccaria Ricci2
1Cardiology Department, Santa Maria Annunziata Hospital, Florence, Italy.
Pacing and clinical electrophysiology : PACE
|January 26, 2026
概括
无心脏起器为患有先天性中央低通风综合征 (CCHS) 的儿科患者提供了安全的解决方案,他们经历了鼻暂停. 通过内静脉进行横植入是有效的,当大腿部的访问是有限的.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 电子生理学 电子生理学
- 医疗器械 医疗器械
背景情况:
- 由于患者体型小,血管通道有限,儿科永久节奏治疗面临挑战.
- 无心脏起器可以减少感染和并发症,但血管接入仍然是年轻患者的障碍.
研究的目的:
- 描述成功地在患有先天性中央低通风综合征 (CCHS) 的青少年身上植入过状无心脏起器.
- 评估无步调在治疗儿科CCHS患者的鼻暂停和相关氧气脱的有效性.
主要方法:
- 一名14岁的男性患有CCHS和由于鼻暂停而导致的反复性夜间脱,由于腿部接入有限,通过右侧内静脉进行了无心脏起器植入.
- 使用光学引导优化了设备的放置,实现了稳定的隔膜固定和出色的电气参数.
主要成果:
- 程序和收回是没有事件的.
- 在1年的随访中,节奏负担是最小的 (1%),设备参数稳定,脱事件的分辨率稳定.
结论:
- 横无心脏起器植入是一种安全有效的策略,适用于CCHS和有限的股骨通道的青少年.
- 在CCHS患者中,永久性节奏可以稳定心律和呼吸功能.
- 个性化患者评估和设备选择对于优化儿科无步行结果至关重要.
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