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目的回顾性分析心律植入装置感染患者经静脉拔除起搏电极导线的结果。方法选择42例心律植入装置感染患者,采取经锁骨下静脉途径拔除起搏电极导线,电极残留较短、中心腔闭塞及锁骨下静脉拔除失败者采取股静脉途径拔除。结果共拔除94根电极,其中经锁骨下静脉拔除86根,完全拔除65根,部分拔除4根,失败17根;经股静脉拔除25根(包括锁骨下静脉拔除失败17根),完全拔除20根,部分拔除3根,失败2根。总成功率为97.9%(92/94)。结论经锁骨下静脉途径是心律植入装置感染患者拔除起搏电极导线的主要途径,对锁骨下静脉途径拔除失败患者可改为经股静脉途径。
Objective To retrospectively analyze the results of intravenous extraction of pacing leads in patients with heart rhythm implanted devices. Methods Forty - two cases of patients with heart rhythm infection were enrolled in this study. The femoral venous catheter was used to remove the lead of the pacing electrode through the subclavian vein, and the residual electrode was short. The central cavity and the subclavian vein were removed. Results A total of 94 electrodes were removed. Among them, 86 were removed through the subclavian vein, 65 were completely removed, 4 were partially removed and 17 failed. The femoral vein was removed 25 (including 17 under-subclavian vein failure) and 20 Root, partially removed 3, failed 2. The total success rate was 97.9% (92/94). CONCLUSIONS: The subclavian vein approach is the main way to remove the lead of pacing lead in patients infected with cardiac rhythm. The patients who fail the subclavian vein can be replaced by the femoral vein.