血管内反推力牵引术拔除感染性起搏电极导管 |
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引用本文: | 马坚,王方正.血管内反推力牵引术拔除感染性起搏电极导管[J].中国心脏起搏与心电生理杂志,1997,11(4):183-184. |
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作者姓名: | 马坚 王方正 |
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作者单位: | 中国医学科学院心血管病研究所中国协和医科大学阜外心血管病医院临床电生理研究室 |
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摘 要: | 应用血管内反推力牵引术,经上腔静脉途径对9例病人的14根感染性起搏电极导管进行拔除。10根(71.4%)电极导管被完全拔除,不完全拔除2根(14.3%)。拔除失败的2根(1例)起搏电极导管经外科开胸术取出。平均随访9个月,感染被控制。提示血管内反推力牵引术是拔除感染性起搏电极导管和治疗起搏器植入术后顽固性感染的有效方法。
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关 键 词: | 电极导管 感染 牵引 |
Intravascular Countertraction Techniques for Extraction of Infected Pacing Leads |
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Abstract: | Intravascular countertraction techniques were used to extract 14 infected pacing leads from 9 patients through the superior vena cava approach.Results:10 leads (71.4%) were completely removed,2 leads (14.3%) were partially removed.Other 2 leads in 1 patient were failed to extract,later were took out by surgical thoracotomy techniques.During a follow up of 9 months the infection was controlled in all patients.Conclusion:The intravascular countertraction techniques is an effctive method to extract infected pacing lead and to treat refractory infction after pacemaker implantation. |
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Keywords: | Lead Infection Extraction |
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