McManus David D, Mattei Mary-Lee, Rose Karen, Rashkin Jason, Rosenthal Lawrence S
Electrophysiology Section, Division of Cardiology, Department of Medicine, University of Massachusetts Medical Center, Worcester, MA 01655, USA.
Indian Pacing Electrophysiol J. 2009 Jul 1;9(4):224-8.
Inadvertent lead placement in the left ventricle (LV) is an uncommon and often under-diagnosed complication of cardiac device implantation. Thromboembolic (TE) events are common and usually secondary to fibrosis or thrombus formation on or around the lead. Anticoagulation can prevent TE events. Percutaneous and surgical LV lead extractions have been performed successfully, but the risks of percutaneous lead removal are not well-defined. In this report, we describe a case of inadvertent LV lead placement and briefly review the contemporary literature.
心脏装置植入术中不经意地将导线置于左心室(LV)是一种罕见且常被漏诊的并发症。血栓栓塞(TE)事件很常见,通常继发于导线上或其周围的纤维化或血栓形成。抗凝治疗可预防TE事件。经皮和外科左心室导线拔除术已成功实施,但经皮导线拔除的风险尚不明确。在本报告中,我们描述了一例不经意的左心室导线置入病例,并简要回顾了当代文献。