摘要
目的回顾分析中高龄老年患者心律植入装置迟发感染经静脉拔除电极的安全性和可行性。方法收集2015年5月—2021年5月就诊于中国科学技术大学附属第一医院(安徽省立医院)因起搏器装置术后迟发感染住院经静脉拔除电极的60例患者。依据年龄分为年轻组(<70岁)32例、中高龄组(≥70岁)28例,收集患者基线数据、手术资料及术后并发症情况,分析2组患者经静脉拔除电极的有效性及安全性。结果入选的60例患者中,中高龄组年龄为(77.5±4.7)岁,男性患者18例(64.3%,18/28);年轻组患者年龄为(57.1±8.7)岁,男性患者23例(71.9%,23/32)。2组患者合并症如心房颤动[9.4%(3/32)vs.35.7%(10/28)]、高血压[3.1%(1/32)vs.53.6%(15/28)]、冠心病[3.1%(1/32)vs.25.0%(7/28)]比较差异有统计学意义(均P<0.05)。2组患者并发症发生率[3.1%(1/32)vs.7.1%(2/28),P=0.476]及完全手术成功率[96.9%(31/32)vs.96.4%(27/28),P=0.923]比较差异无统计学意义。结论心律植入装置迟发感染经静脉拔除电极在中高龄老年患者中是安全的、可行的。
Objective To retrospectively analyze the safety and feasibility of transvenous lead extraction(TLE)in middle-aged and elderly with delayed infection of cardiac implantable electronic device(CIED).Methods A total of 60 TLE patients with delayed infection of CIED hospitalized at the First Hospital of the University of Science and Technology of China(Anhui Provincial Hospital)from May 2015 to May 2021 were collected.The patients were divided into the younger group(<70 years old,n=32)and the middle-aged and elderly group(≥70 years old,n=28)according to the age.The baseline data,surgical data and postoperative complications of the patients were collected to analyze the efficacy and safety of transvenous electrode removal in the two groups.Results Among the 60 patients enrolled,the age of the middle-aged and elderly group was(77.5±4.7)years old with 18 male patients(64.3%,18/28),the age of the younger group was(57.1±8.7)years old with 23 male patients(71.9%,23/32).The differences of two groups on complications for patients such as atrial fibrillation[9.4%(3/32)vs.35.7%(10/28)],hypertension[3.1%(1/32)vs.53.6%(15/28)],coronary heart disease[3.1%(1/32)vs.25.0%(7/28)]were statistically significant(all P<0.05).There was no significant difference in complication rate[3.1%(1/32)vs.7.1%(2/28),P=0.476]and complete surgical success rate[96.9%(31/32)vs.96.4%(27/28),P=0.923]between the two groups.Conclusion The safety and feasibility of TLE in middle-aged and elderly patients with delayed infection of CIED is safe and feasible.
作者
武梦威
胡一东
杨柳
胡凯
苏浩
WU Mengwei;HU Yidong;YANG Liu;HU Kai;SU Hao(Graduate School of Wannan Medical College,Wuhu,Anhui 241000,China)
出处
《中华全科医学》
2023年第7期1130-1133,1142,共5页
Chinese Journal of General Practice
基金
安徽省学术和技术带头人后备人选科研活动经费资助项目(2018H176)
安徽省心血管病研究所2018年度第二批科研项目(KF2018005)。
关键词
中高龄
心律植入装置
迟发感染
经静脉电极拔除术
Middle-aged and elderly
Cardiac implantable electronic device
Delayed infection
Transvenous lead extraction
