CAJ | 학술논문

目的：探讨经皮腋静脉穿刺置入冠状窦电极或心内膜电极导线的可行性与安全性。方法入选216例具有电生理检查指征、起搏器和ICD置入指征的患者，按简单随机法分为实验组与对照组，分别经腋静脉途径和经锁骨下静脉途径置入冠状窦电极或心内膜电极导线。比较两种途径置入冠状窦电极或心内膜电极导线的穿刺成功率和并发症。结果实验组与对照组穿刺成功率分别为97.3%（109/112）和95.2%（99/104）；两组并发症发生率分别为9.8%（11/112）和8.7%（9/104），两组患者穿刺成功率和并发症发生率均无统计学差异（P均＞0.05）。其中，对照组发生气胸3例，实验组无一例发生气胸（P＜0.05）。结论经腋静脉途径置入冠状窦电极或心内膜电极导线安全可行。
목적：탐토경피액정맥천자치입관상두전겁혹심내막전겁도선적가행성여안전성。방법입선216례구유전생리검사지정、기박기화ICD치입지정적환자，안간단수궤법분위실험조여대조조，분별경액정맥도경화경쇄골하정맥도경치입관상두전겁혹심내막전겁도선。비교량충도경치입관상두전겁혹심내막전겁도선적천자성공솔화병발증。결과실험조여대조조천자성공솔분별위97.3%（109/112）화95.2%（99/104）；량조병발증발생솔분별위9.8%（11/112）화8.7%（9/104），량조환자천자성공솔화병발증발생솔균무통계학차이（P균＞0.05）。기중，대조조발생기흉3례，실험조무일례발생기흉（P＜0.05）。결론경액정맥도경치입관상두전겁혹심내막전겁도선안전가행。
Objective To discuss the feasible and safety of implantation of coronary sinus electrode or endocardial electrode via axillary vein puncture. Methods The patients (n=216) with electrophysiological examination indications, pacemakers and ICD implantation indications were divided into experimental group and control group, and respectively implanted coronary sinus electrode or endocardial electrode via axillary vein puncture and subclavian vein puncture. The success rate and complications were compared between 2 puncture approaches. Results The success rate was 97.3%(109/112) in experimental group and 95.2%(99/104) in control group. The incidence of complication was 9.8% (11/112) in experimental group and 8.7% (9/104) in control group (all P>0.05). There were 3 cases of pneumothorax in control group and no in experimental group (P<0.05). Conclusion The implantation of coronary sinus electrode or endocardial electrode via axillary vein puncture is safe and feasible.