经股动脉取出插入锁骨下动脉的左心室起搏导线。
Lead extraction via the femoral artery of a left ventricular pacing lead inserted in the subclavian artery.
作者信息
Bracke Frank, Meijer Albert
机构信息
Department of Cardiology, Catharina Hospital, Eindhoven, the Netherlands.
出版信息
Pacing Clin Electrophysiol. 2003 Jul;26(7 Pt 1):1544-7. doi: 10.1046/j.1460-9592.2003.t01-1-00225.x.
We describe the extraction of a pacing lead via the femoral artery 5 months after it was inadvertently introduced through the right subclavian artery and positioned in the left ventricle. The lead was dislocated from the myocardium by traction from the subpectoral area and subsequently removed with a retriever inserted through the femoral artery in order to minimize the risk of cerebral embolization and bleeding at the entry site. Bleeding was controlled at the subclavian artery entry site by temporary inflation of a balloon catheter inserted through the brachial artery, and at the insertion site of the retriever in the femoral artery with a closure device.
我们描述了在一根起搏导线经右锁骨下动脉意外置入左心室5个月后，通过股动脉将其取出的过程。该导线因胸大肌下区域的牵引而从心肌脱位，随后通过经股动脉插入的回收器将其取出，以尽量降低脑栓塞和进入部位出血的风险。通过经肱动脉插入的球囊导管临时充气，控制锁骨下动脉进入部位的出血，并使用封堵装置控制回收器在股动脉的插入部位的出血。
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