应用激光鞘拔除电极导线(附五例报道)  

Laser-assisted lead extraction: a single center experience

作　　者：李学斌[1] 段江波[1] 王龙[1] 李鼎[1] 昃峰[1] 姜陆洋[1] 刘刚[1] 苑翠珍[1] 何金山[1] 郭继鸿[1] 

机构地区：[1]北京大学人民医院心脏中心,北京100034

出　　处：《中国心脏起搏与心电生理杂志》2015年第5期445-448,共4页Chinese Journal of Cardiac Pacing and Electrophysiology

基　　金：首都临床特色应用研究项目(项目编号:Z121107001012016);北京大学人民医院研究与发展基金(项目编号:RDC2014-21)

摘　　要：目的探讨应用激光鞘拔除电极导线的安全性、可行性。方法回顾分析北京大学人民医院应用激光鞘拔除电极导线的5例患者资料,总结电极导线拔除原因、电极导线特点、手术相关并发症、手术时间、曝光时间、曝光量等。结果 5例患者(2例女性),年龄(62.8±16)岁,其中1例为Ⅱa类适应证,4例为I类适应证,共拔除电极导线8根(2根除颤电极导线),均成功拔除,无并发症发生,手术时间、曝光时间、曝光量的中位数分别为4 min、1min 35 s、1.305 mgy。结论对于大的、有经验的中心,应用激光鞘拔除电极导线是安全、可行的。Objective To explore the feasibility, safety of laser-assisted lead extraction. Methods Consecutive la- ser-assisted lead extraction in 5 patients from Department of Cardiac Electrophysiology,Peking University People＇ s Hospi- tal. The clinical characteristics including reason for lead removal,lead characteristic, and complicaton were summarized. Results Eight leads in 5 patients were extracted successfully by lase sheah without complication. Four patients had ClassⅠ indications for lead extraction, 1 patient for Ⅱ a indications. Conclusions Pacing and implantable cardioverter-defib-rillator leads can safely, effectively, and predictablybe extracted by lasersheath.

关 键 词：心血管病学 起搏器 电极导线 拔除 激光鞘 

分 类 号：R318.11[医药卫生—生物医学工程]