[非经脉 ICD 系统植入实用指南]。

Q4 Medicine Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2024-09-01 Epub Date: 2024-08-21 DOI:10.1007/s00399-024-01042-w
David Duncker, Karolin Albert, Andreas Rillig, Philipp Sommer, Christian-Hendrik Heeger, Melanie Gunawardene, Sascha Rolf, Henning Jansen, Heidi Estner, Till Althoff, Tilman Maurer, Roland Tilz, Leon Iden, Victoria Johnson, Daniel Steven
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引用次数: 0

摘要

作为经静脉 ICD 系统的替代方案,近年来出现了两种非经静脉 ICD 系统:皮下 ICD(S-ICD)已问世数年,其胸骨前电极植入皮下,具有电击功能,并在一定程度上提供电击后起搏。此外,血管外 ICD(EV-ICD)已于 2023 年在欧洲上市,它不需要经静脉电极,可为患者提供抗心动过缓和抗心动过速刺激以及传统的 ICD 功能。该设备的导联是在体下植入的。就安全性和有效性而言,初步植入结果令人满意。这两种系统都避免了经静脉电极可能出现的并发症。本文就植入技术和可能出现的并发症提供实用指导。
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[Practical guidance for the implantation of non-transvenous ICD systems].

As an alternative to transvenous ICD systems, two non-transvenous ICD systems have been established in recent years: The subcutaneous ICD (S-ICD), which has been established for several years, has a presternal electrode that is implanted subcutaneously and offers a shock function and, to a limited extent, post-shock pacing. In addition, the extravascular ICD (EV-ICD) has been available in Europe since 2023 which does not require transvenous electrodes and offers the option of providing patients with antibradycardic and antitachycardic stimulation in combination with a conventional ICD function. The lead of this device is implanted substernally. Initial implantation results are promising in terms of safety and effectiveness. Both systems avoid possible complications of transvenous electrodes. This article provides practical guidance for the implantation technique and possible complications.

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来源期刊
Herzschrittmachertherapie und Elektrophysiologie
Herzschrittmachertherapie und Elektrophysiologie Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.10
自引率
0.00%
发文量
76
期刊介绍: Mit wissenschaftlichen Original- und Übersichtsarbeiten, Berichten über moderne Operationstechniken und experimentelle Methoden ist die Zeitschrift Herzschrittmachertherapie + Elektrophysiologie ein Diskussionsforum für Themen wie: - Zelluläre Elektrophysiologie - Theoretische Elektrophysiologie - Klinische Elektrophysiologie - Angewandte Herzschrittmachertherapie - Bradykarde und tachykarde Herzrhythmusstörungen - Plötzlicher Herztod und Risikostratifikation - Elektrokardiographie - Elektromedizinische Technologie - Experimentelle und klinische Pharmakologie - Herzchirurgie bei Herzrhythmusstörungen Mitteilungen der Arbeitsgruppen Herzschrittmacher und Arrhythmie der Deutschen Gesellschaft für Kardiologie - Herz und Kreislaufforschung e.V. (DGK) sowie Stellungnahmen und praktische Hinweise runden das breite Spektrum dieser Zeitschrift ab. Interessensgebiete: Kardiologie, Herzschrittmachertherapie, Herzschrittmachertechnologie, klinische Elektrophysiologie
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