为一名患有先天性心脏病和左乳房下起搏器的成年人植入皮下心脏复律除颤器。

Soham Dasgupta , Kevin Thomas , Christopher Johnsrude
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引用次数: 0

摘要

植入式心律转复除颤器 (ICD) 的方式/类型取决于心脏的基本解剖结构、静脉通路和原有的心脏植入式电子设备。我们描述了一例为患有先天性心脏病(CHD)且已存在乳房下经静脉起搏器的成人进行皮下 ICD 植入的病例。与在现有起搏导线上添加除颤器线圈、拔出/更换起搏系统或胸骨切开术/心外膜 ICD 植入术相比,这种方法更为可取。手术顺利完成,除颤阈值测试成功。管理患有心脏病的成人心律失常需要创新的方法,共同决策起着至关重要的作用。
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Subcutaneous cardioverter-defibrillator implantation in an adult with congenital heart disease and left infra-mammary pacemaker

The approach/type of an implantable cardioverter defibrillator (ICD) is determined by the underlying cardiac anatomy, venous access, and pre-existing cardiac implantable electronic devices. We describe a case of subcutaneous ICD implantation in an adult with congenital heart disease (CHD) with a pre-existing inframammary transvenous pacemaker. This was preferred over adding a defibrillator coil to existing pacing leads, extraction/replacement of pacing system, or a sternotomy/epicardial ICD placement. The procedure was accomplished uneventfully with successful defibrillation threshold testing. Innovative approaches are required to manage arrhythmias in adults with CHD, with shared decision making playing a critical role.

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来源期刊
Indian Pacing and Electrophysiology Journal
Indian Pacing and Electrophysiology Journal Medicine-Cardiology and Cardiovascular Medicine
CiteScore
2.20
自引率
0.00%
发文量
91
审稿时长
61 days
期刊介绍: Indian Pacing and Electrophysiology Journal is a peer reviewed online journal devoted to cardiac pacing and electrophysiology. Editorial Advisory Board includes eminent personalities in the field of cardiac pacing and electrophysiology from Asia, Australia, Europe and North America.
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