经腋静脉盲刺置入起搏电极的临床研究  

Implantation of Pacemaker Through Blind Axillary Venous Access

作　　者：杨煜[1] 李承宗[1] 程明月[1] 陈文苏[1] 王志荣[1] 张超群[1] 

机构地区：[1]徐州医学院附属医院心内科,221002

出　　处：《黑龙江医药》2015年第5期1035-1037,共3页Heilongjiang Medicine journal

摘　　要：目的:观察经腋静脉穿刺途径植入起搏电极实用性及长期随访结果。方法:将行起搏置入手术患者随机分为经锁骨下静脉穿刺组,经腋静脉穿刺组,观察两组患者手术时间、成功率、并发症发生率及X线曝光时间,同时进行长期随访。结果:两组患者手术时间、并发症发生率、穿刺成功率均无统计学差异,腋静脉穿刺组X线曝光时间稍长于锁骨下静脉组,长期随访(2.1±1.6年)腋静脉组电极功能良好。结论:穿刺腋静脉途径置入起搏电极安全有效。Objective：To evaluate the feasibility and long-term safety of implanting endocardial electrode via axillary vein puncture.Methods：The patients received pacemaker implantation were divided into axillary vein group and subclavian vein group randomly.The success rate,procedure duration,fluoroscopy exposure,complications and long-term manifestation of patients in both groups were compared.Results：The success rate,procedure duration,and the incidence of complications were all similar in both group.The fluoroscopy exposure times were longer in axillary vein group than that in subclavian vein group.Conclusion：Pacemaker implantation through blind axillary vein access is feasible and safe.

关 键 词：腋静脉穿刺途径 植入起搏电极 临床研究 

分 类 号：R541[医药卫生—心血管疾病]