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在高风险患者中结合无节拍和皮下除策略:来自秘鲁的第一份病例报告
Alexis Vallejos-Barrientos1, Diego Davila-Flores1, Richard Soto-Becerra2
1National Cardiovascular Institute-INCOR, EsSalud, Lima, Peru. National Cardiovascular Institute-INCOR EsSalud Lima Peru.
Archivos peruanos de cardiologia y cirugia cardiovascular
|January 26, 2026
概括
本案例研究表明,在感染的高风险患者中,成功地植入了完全无心脏器件. 这种新的方法使用了无心脏起器和皮下除器,避免了透静脉并确保了患者的康复.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
背景情况:
- 一名51岁的男性患有非缺血性扩张性心肌病症和完整的心房静脉阻塞,患有心脏再同步治疗除器.
- 患者患有口袋感染,构成设备挤出高风险.
研究的目的:
- 在高风险患者中描述使用无设备的顺序植入策略.
- 评估一种完全无方法的可行性和安全性,用于那些对传统的透静系统有禁忌的患者.
主要方法:
- 部分提取受感染的心脏设备系统.
- 14天的静脉注射抗生素治疗.
- 无心脏起器 (Micra AV) 和皮下可植入心脏转换器-除器 (EMBLEM) 的连续植入,原因是缺乏透静脉接入和心室动病史.
主要成果:
- 两次无装置植入都没有并发症完成.
- 患者表现出良好的康复,有效的节奏和没有心律失常的复发.
- 在六个月的随访期间,没有观察到感染的迹象.
结论:
- 在高风险患者中,完全无的顺序植入策略是可行的.
- 这种方法为患有对传统输血心脏电子设备的禁忌的患者提供了可行的替代方案.
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