经腋静脉送入心内电极置入永久起搏器35例临床分析

Clinical experience in permanent pacemaker electrode implantation through axillary vein

目的:初步评价置入永久双腔起搏器经腋静脉送入心房心室电极的安全性、有效性。方法:35例病窦和Ⅱ～Ⅲ度房室传导阻滞患者接受了永久起搏器置入治疗,心房及心室电极均在X线透视指导下,直接穿刺腋静脉送入。结果:35例患者永久起搏器均顺利置入,所有心房及心室电极均成功地经腋静脉送入,住院期间无血胸、气胸及静脉狭窄、静脉血栓等并发症发生。随访3个月～2年,无电极脱位、电极断裂、局部感染和静脉狭窄、静脉血栓等并发症。结论:置入永久双腔起搏器经腋静脉送入心内电极安全、可靠,且可能优于经锁骨下静脉和经头静脉径路。

Objective： To observe and assess the safety and clinical effects of a permanent dual chamber pacemaker implantation through axillary vein. Methods： The atrial and ventricular electrode were delivered through axillary vein into atrial and ventricular under X-ray in 35 patients with sick sinus syndrome and Ⅱ-Ⅲ° atrioventricular block. Results： All 35 procedures and pacing were successful. All heart electrodes were successfully placed through the axillary vein, without any complication. Conclusion： Permanent dual chamber pacemaker implantation through axillary vein is safe, reliable, and may be better than that through the subclavian vein and the cephalic vein approach.