儿童埋藏式心律转复除颤器的应用进展

Progress in application of implantable cardioverter defibrillators in children

埋藏式心律转复除颤器(ICD)在心源性猝死中有不可替代的作用,随着ICD技术的发展,儿童ICD植入也日趋增多,但由于儿童的特殊性,儿童ICD在应用指征、器械及植入方式的选择等方面仍面临着巨大挑战。现就儿童ICD临床应用的相关问题,包括常见病种、适应证及ICD系统的临床应用进行综述。

Implantable cardioverter defibrillator(ICD)plays an irreplaceable role in preventing sudden cardiac death.There has been a continuous increase in the implantation rate of ICD in children along with technologic improvement.However,the choice of indication,device and implantation approaches of ICD still faces great challenges due to the particularity of children.Related issues on the clinical application of ICD in children,including common diseases,indications and the clinical application of ICD,are reviewed in this paper.