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Updated: Feb 5, 2026

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引的困难和并发症-ICD引设计是否重要?
Andrzej Kutarski1, Wojciech Jacheć1, Paweł Stefańczyk2
12nd Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland.
Pacing and clinical electrophysiology : PACE
|February 3, 2026
概括
植入式心脏转换器-除器 (ICD) 引线的静脉输血取 (TLE) 比起心脏起器 (PM) 引线更安全,更简单,并没有太多严重的并发症. 领先的设计没有显著影响TLE安全性,但一些制造商的成功率较低.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 植入式心脏转换器-除器 (ICD) 导线的静脉移除被认为是具有挑战性和高风险的.
- 了解ICD设计对输血提取 (TLE) 安全性和有效性的影响至关重要.
研究的目的:
- 调查ICD设计对跨静脉取 (TLE) 的安全性和有效性的影响.
- 为了比较ICD引线和心脏起器 (PM) 引线之间的TLE结果.
主要方法:
- 追溯分析了3929个TLE程序,其中包括1068个涉及ICD取.
- 在ICD和PM提取之间比较主要的并发症率,程序复杂性和成功率.
主要成果:
- 在提取时,ICD线索显著更年轻 (PM线索的中位数为61个月,而PM线索的中位数为97个月).
- 对于ICD提取 (0.75%) 与PM提取 (2.25%) 相比,主要并发症的发生率较低.
- 与ICD提取相比,PM提取的完整程序成功率较低.
结论:
- ICD取通常不那么复杂,而且比PM取更安全,可能是由于植入时间更短.
- 根据ICD主要制造商,没有观察到TLE复杂性或并发症的显著差异.
- 与Abbott和Biotronik的ICD线索相比,与Medtronic线索相比,完全程序成功率较低.
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