Division of Cardiology, Electrophysiology Section, University of Utah School of Medicine, 30 North 1900 East, Salt Lake City, UT, USA.
Europace. 2011 Jun;13(6):901-2. doi: 10.1093/europace/eur006. Epub 2011 Feb 4.
A 74-year-old man with chronic atrial fibrillation underwent ablation under conscious sedation. After sheath removal from the left atrium, the patient flexed his thighs, resulting in a 'foetal position' developing tamponade due to an right atrial (RA) appendage perforation from sheath migration. This illustrates the importance of close monitoring during sedation weaning, recommending removal of all sheaths prior to sedation withdrawal.
一位 74 岁患有慢性心房颤动的男子在清醒镇静下接受了消融术。在从左心房取出鞘管后，患者弯曲大腿，导致由于鞘管移位导致右心房（RA）附件穿孔而出现填塞的“胎儿体位”。这说明了在镇静唤醒期间密切监测的重要性，建议在镇静撤出前取出所有鞘管。
