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临时心外膜起搏导线拔除术:这是一个无害的操作吗?

Temporary epicardial pacing wire removal: is it an innocuous procedure?

作者信息

Mishra Pankaj Kumar, Lengyel Emma, Lakshmanan Suresh, Luckraz Heyman

机构信息

Department of Cardiothoracic Surgery, Heart and Lung Centre, New Cross Hospital, Wednesfield Road, Wolverhampton WV10 0QP, UK.

出版信息

Interact Cardiovasc Thorac Surg. 2010 Dec;11(6):854-5. doi: 10.1510/icvts.2010.240978. Epub 2010 Sep 16.

Abstract

The safety and efficacy of temporary pericardial pacing wires have been accepted and their use is common after cardiac operations. Complications related to pacing wire removal are unusual but it can be serious and even catastrophic. We report an unusual case of bleeding due the laceration and rent created in the saphenous vein graft wall by the metallic tip of the pacing wire at the time of pacing wire removal.

摘要

临时心包起搏导线的安全性和有效性已得到认可,其在心脏手术后的使用很常见。与起搏导线拔除相关的并发症并不常见,但可能很严重,甚至是灾难性的。我们报告了一例罕见病例,在拔除起搏导线时,起搏导线的金属尖端在大隐静脉移植血管壁上造成撕裂和破损,导致出血。

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