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模拟“尼斯湖水怪”的起搏器导线侵蚀:保守治疗

Pacemaker lead erosion simulating "Loch Ness Monster": conservative management.

作者信息

Garg Naveen, Moorthy Nagaraja

机构信息

Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.

出版信息

Asian Cardiovasc Thorac Ann. 2012 Dec;20(6):718-20. doi: 10.1177/0218492312441357.

DOI:10.1177/0218492312441357
PMID:23284119
Abstract

The majority of pacemaker pocket or lead erosions are due to either mechanical erosion by the bulky pulse generator or secondary to pacemaker pocket infection. We describe an unusual case of delayed pacemaker lead erosion causing extrusion of a portion of the pacing lead, with separate entry and exit points, with the gap filled with new skin formation, simulating the "Loch Ness Monster", which was successfully managed conservatively by surgical reinsertion.

摘要

大多数起搏器囊袋或导线侵蚀是由笨重的脉冲发生器的机械侵蚀或继发于起搏器囊袋感染所致。我们描述了一例罕见的迟发性起搏器导线侵蚀病例,导致部分起搏导线挤出,有单独的进出点,间隙被新形成的皮肤填充,形似“尼斯湖水怪”,通过手术重新植入成功地进行了保守处理。

相似文献

1
Pacemaker lead erosion simulating "Loch Ness Monster": conservative management.模拟“尼斯湖水怪”的起搏器导线侵蚀:保守治疗
Asian Cardiovasc Thorac Ann. 2012 Dec;20(6):718-20. doi: 10.1177/0218492312441357.
2
[The pocket infection-erosion of permanent pacemakers: the results of a conservative approach without substitution of the components].
Rev Port Cardiol. 1995 Oct;14(10):691-5.
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Extrusion of the device: a rare complication of the pacemaker implantation.
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Salvage of exposed implantable cardiac electrical devices and lead systems with pocket change and local flap coverage.通过更换囊袋和局部皮瓣覆盖来挽救外露的植入式心脏电子装置及导线系统。
Ann Plast Surg. 2007 Jul;59(1):26-9; discussion 30. doi: 10.1097/01.sap.0000261846.73531.2e.
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Long term performance of dual chamber pacemakers.双腔起搏器的长期性能
Indian Heart J. 1990 Sep-Oct;42(5):347-50.
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A case of total pacemaker extrusion.一例起搏器完全脱出病例。
Europace. 2009 May;11(5):670. doi: 10.1093/europace/eup083. Epub 2009 Apr 8.
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[Complications associated with nonfunctioning pacemaker electrodes retained within the cardiovascular system].[心血管系统内保留的无功能起搏器电极相关并发症]
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[Exit block: a postoperative complication of pacemaker implantation (author's transl)].[出口阻塞:起搏器植入术后的一种并发症(作者译)]
Wien Klin Wochenschr. 1978 Sep 15;90(17):633-6.

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