全皮下埋藏式心律转复除颤器的研究进展

    Research progress on fully subcutaneous implantable cardioverter defibrillators

    • 摘要: 全皮下埋藏式心律转复除颤器(entirely subcutaneous implantable cardioverter defibrillator, S-ICD)是一种预防心脏性猝死的有效治疗策略,是经静脉植入式心律转复除颤器(transvenous implantable cardioverter defibrillator,TV-ICD)在特定患者中的替代方案。S-ICD不存在经静脉导线,避免了血管损伤的风险,降低了潜在的系统感染风险,保留了静脉通路,避免了经静脉导线相关并发症,是不需要心动过缓、心脏再同步化治疗或抗心动过速起搏治疗患者的首选治疗方案。本文概括了S-ICD的植入、适用人群及移除,讨论了优势与不足,并回顾了目前最新研究进展。

       

      Abstract: The entirely subcutaneous implantable cardioverter defibrillator (S-ICD) is an effective treatment strategy for preventing sudden cardiac death and is an alternative to intravenous implantable cardioverter defibrillators in specific patients. S-ICD does not have a transvenous lead, avoiding the risk of vascular damage, reducing the potential risk of systemic infection, and preserving venous access, avoiding complications related to intravenous wire, it is the preferred treatment option for patients who do not require bradycardia, cardiac resynchronization therapy, or anti tachycardia pacing. This article summarizes the implantation, target audience, and removal of S-ICD, discusses its advantages and disadvantages, and reviews the latest research progress.

       

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