678例双腔起搏器安置术中导线入路的回顾性研究  

Retrospective study of 678 implantable venous access in dual chamber pacemaker implantation

作　　者：张琪[1] 姜萌[1] 金艳[1] 周笙珩[1] 章隆泉[1] 毛家亮[1] 何奔[1] 

机构地区：[1]上海交通大学医学院附属仁济医院心内科,上海200001

出　　处：《中国心脏起搏与心电生理杂志》2010年第4期307-309,共3页Chinese Journal of Cardiac Pacing and Electrophysiology

摘　　要：目的讨论双腔起搏器安置术中导线入路的选择对手术过程及术中、术后并发症的影响。方法回顾性分析本院2000年以来安置双腔起搏器患者,比较选择不同静脉入路所需曝光百分比及术中、术后并发症。结果共入选678例。腋静脉入路需曝光者最多,其次为双径路者,锁骨下静脉及颈外静脉入路最少。头静脉及锁骨下静脉入路成功率较高,均在80%以上。但不同入路并发症相似。结论除传统的头静脉外,包括腋静脉在内的不同导线入路均是可选择的途径,术前及术中明确靶血管解剖结构是合理选择手术方式的关键。Objective To discuss the impact of different implantable venous access in dual chamber pacemaker on surgery procedure and complications. Methods Six hundred and eighty-two patients were implanted dual chamber pacemaker in different venous access. A retrospective study was performed to compare X-ray exposure during operation and complications during catheter insertion and follow up. Results Each implantable venous access was feasible although the success rate of first attempt was different and the percentage of X-ray exposure was different. Overall complications including pneumothorax, late catheter transection, and nerve impairment were similar for each groups. Conclusions Each venous access is selectable. The key point is to identify the couser and anatomy of the target vessel. [ Chinese Journal of Cardiac Pacing and Electrophysiology,2010,24 （ 4 ） ： 307 - 309 ]

关 键 词：心血管病学 导线静脉入路 双腔起搏器 腋静脉 头静脉 

分 类 号：R318.11[医药卫生—生物医学工程]