ヤギシタ ダイゴ   YAGISHITA Daigo
  柳下 大悟
   所属   医学部 医学科(東京女子医科大学病院)
   職種   助教
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 Acute and Long-Term Outcomes of Transvenous Cardiac Pacing Device Implantation in Patients With Congenital Heart Disease
掲載誌名 正式名:Circulation Reports
略  称:Circ Rep
ISSNコード:24340790
掲載区分国内
出版社 The Japanese Circulation Society
巻・号・頁 1(10),445-455頁
著者・共著者 TAKEUCHI Daiji†, TOYOHARA Keiko, YAGISHITA Daigo, YAZAKI Kyoichiro, HIGUCHI Satoshi, EJIMA Koichiro, SHODA Morio*, HAGIWARA Nobuhisa
発行年月 2019/10
概要 Background: Little is known about the acute/long-term outcomes of implantation of cardiac implantable electronic devices (CIED) using a transvenous approach for patients with congenital heart disease (CHD).

Methods and Results: We retrospectively investigated the acute/long-term results and complications associated with transvenous CIED implantation in 140 patients with CHD. We implanted 77 pacemakers, 51 implantable cardioverter defibrillators (ICD), and 12 cardiac resynchronization therapy (CRT) devices. Although we successfully implanted pacemakers and ICD in all patients, we could not place a coronary sinus (CS) lead in 25% of the patients requiring CRT devices due to coronary vein anomalies associated with corrected transposition of the great arteries (cTGA). Overall complication rate, lead failure rate, and incidence of device infection were 16%, 9%, and 0.7%, respectively. There was no significant difference in overall complication rates between the simple (n=22) and complex CHD (n=118) groups (14% vs. 16%). The 10-year lead survival for the ICD leads (77%) was significantly lower than for the pacemaker leads (91%, P=0.0065).

Conclusions: The outcomes of transvenous CIED in patients with CHD seemed acceptable, although there was a relatively high incidence of complications. CS lead placement for cTGA may be hindered by coronary vein anomalies. Lead survival tended to be lower for ICD than for pacemakers in these patients.
DOI https://doi.org/10.1253/circrep.CR-19-0069