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儿童临时起搏导线的罕见并发症

Unusual complication of temporary pacing wires in children.

作者信息

Bolton J W, Mayer J E

机构信息

Department of Cardiothoracic Surgery, Boston University Medical Center, MA 02118.

出版信息

Ann Thorac Surg. 1992 Oct;54(4):769-70. doi: 10.1016/0003-4975(92)91027-7.

DOI:10.1016/0003-4975(92)91027-7
PMID:1417239
Abstract

There have been numerous complications described concerning temporary epicardial pacing wires including infection, bleeding, and coronary artery graft disruption. We report a case in which the heart was ensnared by the pacing wire, resulting in cardiac decompensation during attempted removal. This complication may be avoided by assuring that a smaller loop of pacing wire remains in the pericardium.

摘要

关于临时心外膜起搏导线,已有许多并发症的描述,包括感染、出血和冠状动脉移植血管破裂。我们报告一例在试图拔除起搏导线时心脏被其缠绕,导致心脏失代偿的病例。通过确保心包内保留较小的起搏导线环,可以避免这种并发症。

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引用本文的文献

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2
Selective Use of Temporary Epicardial Pacing Leads in Early Infancy Following Cardiac Surgery: Feasibility and Determinants of Clinical Application.心脏手术后早期婴儿临时心外膜起搏导线的选择性使用:临床应用的可行性及决定因素
Pediatr Cardiol. 2019 Mar;40(3):630-637. doi: 10.1007/s00246-018-2037-y. Epub 2018 Dec 18.
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Inside and out: an epicardial lead gone astray.
从内到外:一根心外膜导线误入歧途。
Tex Heart Inst J. 2011;38(2):204-5.
4
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