心血管植入式电子装置植入后的静脉血栓形成

Venous thrombosis after implantation of cardiovascular implantable electronic devices

【摘要】植入侧静脉血栓形成是心血管植入式电子装置的术后并发症之一,其发生机制目前尚不完全明确。电极导线的种类、直径、数量等可能是其危险因素。结合病史、临床表现及辅助检查可作出明确诊断,治疗包括抗凝、溶栓、拔出电极导线、静脉支架植入及外科手术。本文综述了近年关于心血管植入式电子装置植入后的静脉血栓形成的相关研究。

基金项目:军队重大课题 (AWS13C008) 孟海波,为共同第一作者

【Abstract】Venous thrombosis is one of postoperative complications following implantation of cardiovascular implantable electronic devices (CIED), and its mechanisms remain unclear yet. The types, diameters and quantities of the lead may be the risk factors for the disease. Definite diagnosis can be obtained in combination of medical history, clinical manifestations and auxiliary examinations, and the treatment includes anticoagulation, thrombolytic therapy, lead extraction, venous stent implantation and surgery. In this article, we reviewed the recent literatures concerning venous thrombosis after implantation of CIED.