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首页> 外文期刊>Journal of cardiac surgery. >A comparison of steroid-eluting epicardial versus transvenous pacing leads in children.
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A comparison of steroid-eluting epicardial versus transvenous pacing leads in children.

机译：类固醇洗脱外膜与吞咽手术中儿童的比较。

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OBJECTIVE: To evaluate the acute and chronic performance of steroid-eluting (SE) epicardial (EPI) pacing leads as compared to SE transvenous (TV) pacing leads in children. METHODS: From 1989 through 1997, 55 children with congenital heart disease received a total of 85 SE pacing leads, of which 38 were EPI and 47 TV. The mean age of children receiving EPI leads was younger than those receiving TV leads (7.7 months vs 15.1 years, p = 0.001), and they had shorter follow-up (17.2 months vs 36.2 months, p < 0.001). All leads were evaluated for acute and chronic sensing and capture thresholds, and impedance. RESULTS: Acute and in particular chronic atrial and ventricular sensing and capture thresholds in SE EPI and TV leads were essentially equivalent. [table: see text]. The chronic impedance of TV leads (atrial 525 ohms, ventricular 520 ohms) was consistently higher than EPI leads (atrial 404 ohms, ventricular 386 ohms). CONCLUSION: At intermediate follow-up, SE EPI leads are functionally equivalent to SE TV leads. We recommend the use of SE EPI leads as long as practically feasible prior to using the TV approach in children who will require a life-time of pacing.
机译：目的：鉴于儿童SE乐常（电视）起搏铅相比，评价类固醇洗脱（SE）外膜（EPI）起搏铅的急性和慢性表现。方法：从1989年到1997年，55名具有先天性心脏病的儿童，共收到85个PACIPIN铅，其中38个是EPI和47台电视。接受EPI领导的儿童的平均年龄比接收电视导线更年轻（7.7个月与15.1岁，P = 0.001），他们的后续随访（17.2个月与36.2个月，P <0.001）。评估急性和慢性感测和捕获阈值和阻抗的所有铅。结果：急性和特别是慢性心房和心室感测和SE EPI和电视引线的捕获阈值基本上是等同的。 [表：见文字]。电视引线（室间525欧姆，心室520欧姆）的慢性阻抗始终高于EPI引线（室间404欧姆，心室386欧姆）。结论：在中间随访中，SE EPI领导在功能上等同于SE电视引线。我们建议使用SE EPI领先的领先在利用需要起搏的寿命时的电视方法之前可行。

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