改良腋静脉穿刺技术应用于心脏起搏器电极植人手术的临床初步研究

目的观察改良腋静脉穿刺技术应用于心脏起搏器电极植入手术的有效性和安全性。方法选取2012年3月至2012年10月北京市中日友好医院收治的因病态窦房结综合征、房室阻滞或心房颤动伴心室长间歇而行永久心脏起搏器植入手术的患者50例，采用改良的腋静脉穿刺技术行起搏电极植入，观察围术期并发症情况，术后常规随访。结果50例患者均成功完成腋静脉穿刺，共植入起搏电极95根。手术期间未发生血胸、气胸、植入电极操作不顺等情况。随访时间（9．3±3．1）个月，所有患者的起搏参数未见明显异常。结论临床初步研究证实了改良的腋静脉穿刺技术的安全性和有效性。

Clinical experience of improved axillary vein puncture for pacemaker lead implantation

Objectives To investigate the effectiveness and safety of improved axillary vein puncture for pacemaker lead implantation. Methods Pacemakers were implanted in 50 patients with sick sinus syndrome, atrioventricular block or atrial fibrillation in China-Japan Friendship Hospital from March to October 2012. An improved method of axillary vein puncture was used for pacemaker lead implantation. The perioperative complications were observed and follow-up were performed. Results Axillary vein puncture was successfully attempted in all the 50 patients. A number of 95 pacemaker leads were implanted. There were no obvious complications during procedures and within （9.3±3.1） months＇ follow-up. Conclusions Improved axillary vein puncture is both effective and safe for pacemaker lead implantation.