Yadav Rakesh, Chandra Sharad, Naik Nitish, Nagesh Cm, Kothari Ss
Department Of Cardiology, Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110029, India.
Indian Pacing Electrophysiol J. 2009;9(2):108-11. Epub 2009 Mar 15.
Subclavian route is a standard way of performing a permanent pacemaker. However in cases with superior vena caval or bilateral subclavian occlusion and bilateral infection of pacemaker site, alternative site is warranted. Epicardial route needs general anesthesia and has its own problems. Iliofemoral route has been used previously but has more lead related problems and patient discomfort. Here we are reporting a case in which transiliac pacing was done due to both right and left pacemaker site active infection and to avoid the chance of lead dislodgement, an alpha loop was made in the right atrium.
锁骨下途径是植入永久性起搏器的标准方法。然而，对于上腔静脉或双侧锁骨下静脉闭塞以及起搏器部位双侧感染的病例，需要选择其他部位。心外膜途径需要全身麻醉且有其自身的问题。髂股途径以前曾被使用过，但有更多与导线相关的问题以及患者不适。在此，我们报告一例因左右起搏器部位均有活动性感染而进行经髂起搏的病例，为避免导线移位，在右心房制作了一个α袢。
