使用激光鞘管取出起搏器导线后，右乳内动脉至 Superior vena cava形成瘘管。 （注：“Superior vena cava”常见释义为“上腔静脉” ）
Fistula from right internal mammary artery to superior vena cava after use of a laser sheath to extract a pacemaker lead.
作者信息
Azpurua Federico E, Dougherty Kathryn G, Massumi Ali, Strickman Neil E
机构信息
Department of Adult Cardiology, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77030, USA.
出版信息
Tex Heart Inst J. 2012;39(5):727-30.
Abstract
A 55-year-old woman presented with dyspnea on exertion due to a right internal mammary artery-to-superior vena cava arteriovenous fistula that occurred after pacemaker lead extraction with a laser sheath. The fistula was successfully repaired by placing a covered stent in the right internal mammary artery. In this unusual location, endovascular stenting is a reasonable alternative to coil embolization or surgical repair of an arteriovenous fistula resulting from laser lead extraction.
摘要
一名55岁女性因在使用激光鞘拔除起搏器导线后出现右乳内动脉至 superior vena cava（上腔静脉）动静脉瘘而出现劳力性呼吸困难。通过在右乳内动脉置入覆膜支架成功修复了该瘘。在这个不寻常的部位，血管内支架置入术是激光导线拔除后动静脉瘘进行弹簧圈栓塞或手术修复的合理替代方法。
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本文引用的文献
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Transvenous removal of pacing and implantable cardiac defibrillating leads using single sheath mechanical dilatation and multiple venous approaches: high success rate and safety in more than 2000 leads.经静脉使用单鞘机械扩张和多种静脉入路移除起搏和植入式心脏除颤导线：2000余根导线的高成功率与安全性
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Fatal left internal mammary artery graft to subclavian vein fistula complicating dual-chamber pacemaker implantation.
Europace. 2008 Jul;10(7):890-1. doi: 10.1093/europace/eun057. Epub 2008 Mar 6.
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Pacing Clin Electrophysiol. 2007 Feb;30(2):214-20. doi: 10.1111/j.1540-8159.2007.00652.x.
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Clinical study of the laser sheath for lead extraction: the total experience in the United States.用于导线拔除的激光鞘的临床研究：美国的总体经验
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