起搏器感染后再次植入原起搏器和植入新起搏器的安全性比较分析

Safety comparison and analysis of implantation of the reused pacemaker with the new pacemaker on the opposite side after the pacemaker infection

目的:比较因起搏器感染行起搏器电极移除术后于对侧再次植入灭菌后的原起搏器和植入新起搏器的安全性。方法:选取2012-02-2014-02在郑州大学第一附属医院心内科和郑州大学人民医院心内科因起搏器感染需要移除原起搏器的住院患者18例,所有患者均植入原起搏器<1年。移除原起搏器及电极后于对侧重新植入起搏器。根据患者经济情况及自主意愿,10例患者于对侧植入灭菌后的原起搏器,8例患者于对侧植入新起搏器。随访观察24个月,观察植入灭菌后的原起搏器与新起搏器的安全性。结果:植入灭菌后的原起搏器的10例患者和植入新起搏器的8例患者均未再发生起搏器感染及相关并发症。结论:起搏器感染后植入灭菌后的原起搏器安全性不劣于新的起搏器,可作为经济困难的起搏器感染患者的一种选择。

Objective：To compare the safety of the implantation of the sterilized original pacemaker with the new pacemaker on the opposite side after the pacemaker removal surgery because of the pacemaker infection.Method：A total of 18 patients who require removal of the original pacemakers because of the pacemakers＇ infection was collected in this study.They were implanted original pacemakers less than 1year.After the removal of the original pacemakers,patients re-implanted pacemakers on the opposite side.According to the economic situation and voluntary will of the patients,10 patients implanted the sterilized original pacemakers on the opposite side,and 8patients implanted new pacemakers on the opposite side.After the follow up 24 months,the safety was observed in the implantation of sterilized original pacemakers and new pacemakers on the opposite side.Result：There were no pacemaker infection related complications in 10 patients with the implantation of sterilized original pacemakers and 8patients with the implantation of new pacemakers.Conclusion：The safety of the implantation of the sterilized original pacemaker is not inferior to the new pacemaker after the pacemaker infection,suggesting that it is an option for patients with economic difficulties.