Liang Jackson J, Killu Ammar M, Osborn Michael J, Jaffe Allan S
Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Indian Heart J. 2013 May-Jun;65(3):331-3. doi: 10.1016/j.ihj.2013.04.009. Epub 2013 Apr 9.
The number of patients with intracardiac devices, including permanent pacemakers and implantable cardioverter-defibrillators is increasing. Lead perforation is a recognized complication which most often occurs during or shortly following pacemaker implantation. Late lead perforation occurring over 30 days after device insertion is a rare, potentially life-threatening complication. We present a case of late lead perforation unmasked greater than eight years after pacemaker implantation by initiation of anticoagulation.
包括永久性起搏器和植入式心脏复律除颤器在内的心脏内装置患者数量正在增加。导线穿孔是一种公认的并发症,最常发生在起搏器植入期间或之后不久。装置植入后30天以上发生的晚期导线穿孔是一种罕见的、可能危及生命的并发症。我们报告一例起搏器植入八年多后因开始抗凝治疗而发现的晚期导线穿孔病例。