经腋静脉途径置入心脏电极导线的临床研究  

Cardiac electrodes implanted via axillary vein puncture

作　　者：施亚明[1] 吴春阳[1] 王斌[1] 杨顺清[1] 施国富[1] 周召峰[1] 陈荣敏[1] 

机构地区：[1]江苏省盐城市第三人民医院心内科,盐城224001

出　　处：《中国循证心血管医学杂志》2014年第2期218-220,共3页Chinese Journal of Evidence-Based Cardiovascular Medicine

摘　　要：目的探讨经皮腋静脉穿刺置入冠状窦电极或心内膜电极导线的可行性与安全性。方法入选216例具有电生理检查指征、起搏器和ICD置入指征的患者,按简单随机法分为实验组与对照组,分别经腋静脉途径和经锁骨下静脉途径置入冠状窦电极或心内膜电极导线。比较两种途径置入冠状窦电极或心内膜电极导线的穿刺成功率和并发症。结果实验组与对照组穿刺成功率分别为97.3%(109/112)和95.2%(99/104);两组并发症发生率分别为9.8%(11/112)和8.7%(9/104),两组患者穿刺成功率和并发症发生率均无统计学差异(P均>0.05)。其中,对照组发生气胸3例,实验组无一例发生气胸(P<0.05)。结论经腋静脉途径置入冠状窦电极或心内膜电极导线安全可行。Objective To discuss the feasible and safety of implantation of coronary sinus electrode or endocardial electrode via axillary vein puncture. Methods The patients （n=216） with electrophysiological examination indications, pacemakers and ICD implantation indications were divided into experimental group and control group, and respectively implanted coronary sinus electrode or endocardial electrode via axillary vein puncture and subclavian vein puncture. The success rate and complications were compared between 2 puncture approaches. Results The success rate was 97.3%（109/112） in experimental group and 95.2%（99/104） in control group. The incidence of complication was 9.8% （11/112） in experimental group and 8.7% （9/104） in control group （all P〉0.05）. There were 3 cases of pneumothorax in control group and no in experimental group （P〈0.05）. Conclusion The implantation of coronary sinus electrode or endocardial electrode via axillary vein puncture is safe and feasible.

关 键 词：腋静脉 锁骨下静脉 冠状窦电极 心内膜电极 

分 类 号：R540.46[医药卫生—心血管疾病]