经腋静脉植入永久性心脏起搏器电极的方法

Electrode for permanent pacemaker implantation via the axillary vein

长期以来,主要是经锁骨下静脉或头静脉送入永久性心脏起搏器电极,但锁骨下静脉通路与导线断裂和"锁骨下挤压综合征"等严重并发症密切相关,有证据证明"锁骨下挤压综合征"导致电极断裂的发生率逐渐升高。植入电极通过使用头静脉通路或是使用最近描述的但仍未被广泛接受的腋静脉通路,这种并发症能够避免。根据近年来不断实践和总结临床中使用腋静脉植入起搏器电极的情况,也证明腋静脉通路是一种理想的静脉入路。目前经腋静脉植入起搏器电极的方法较多,因每种方法都有各自的优缺点及操作技巧,临床选用时需根据实际情况慎重选择最适宜方法。

For a long time,mainly to the permanent pacemaker electrode via the subclavian vein or cephalic vein, but the subclavian vein access and wire fracture and subclavian crush syndrome and other serious complications are closely related,there is evidence that ＂ subclavian crush syndrome＂ caused the incidence of electrode fracture increased gradually. By implanted electrodes the use of head vein access or use the recently described but has not yet been widely accepted axillary venous access,this complication can be avoided. According to the use of axillary vein implantation of pacemaker electrode in recent years in clinical practice and summary, also proved that the pathway of axillary vein is an ideal vein approach. At present the method of axillary vein implantation pacemaker more, because each method has advantages and disadvantages and their clinical skills, when choosing the most appropriate method should be carefully selected according to the actual situation.