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尽管进行了抗血小板和抗凝治疗，但起搏器导线位置异常仍导致了随后的缺血性中风。

Pacemaker lead malpositioning led to subsequent ischemic strokes despite antiplatelet and anticoagulation therapy.

作者信息

Rath Claus, Andreas Martin, Khazen Caesar, Wiedemann Dominik, Habertheuer Andreas, Kocher Alfred

机构信息

Division of Cardiac Surgery, Vienna General Hospital, Medical University of Vienna, Waehringer Guertel 18-20, Vienna A-1090, Austria.

出版信息

J Cardiothorac Surg. 2014 Mar 20;9:54. doi: 10.1186/1749-8090-9-54.

DOI:10.1186/1749-8090-9-54
PMID:24650169
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3994493/
Abstract

Pacemaker lead malpositioning may lead to severe clinical adverse events. Rarely, cases of inadvertent placement of a lead into the left ventricle are reported in the literature. We herein report a case of pacemaker lead malpositioning into the left ventricle via a persistent foramen ovale in a male caucasian patient. After this procedural adverse event, the patient suffered from two ischemic strokes despite antiplatelet and anticoagulation therapy.

摘要

起搏器导线位置异常可能导致严重的临床不良事件。文献中很少报道导线意外置入左心室的病例。我们在此报告一例白种男性患者起搏器导线经持续性卵圆孔未闭异常置入左心室的病例。在这一手术不良事件发生后，尽管进行了抗血小板和抗凝治疗，患者仍发生了两次缺血性中风。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c4/3994493/ecc2438ea402/1749-8090-9-54-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c4/3994493/6c109dd9b74f/1749-8090-9-54-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c4/3994493/8c4f6db7f954/1749-8090-9-54-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c4/3994493/f741d16917a9/1749-8090-9-54-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c4/3994493/ecc2438ea402/1749-8090-9-54-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c4/3994493/6c109dd9b74f/1749-8090-9-54-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c4/3994493/8c4f6db7f954/1749-8090-9-54-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c4/3994493/f741d16917a9/1749-8090-9-54-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c4/3994493/ecc2438ea402/1749-8090-9-54-4.jpg

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本文引用的文献

1
Rate, causes, and impact on patient outcome of implantable device complications requiring surgical revision: large population survey from two centres in Italy.需要手术修正的植入式设备并发症的发生率、原因及其对患者预后的影响：来自意大利两个中心的大型人群调查。
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Heart Rhythm. 2012 May;9(5):728-35. doi: 10.1016/j.hrthm.2011.12.014. Epub 2011 Dec 17.
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Eight years of left ventricle pacing due to inadvertent malposition of a transvenous pacemaker lead in the left ventricle.
因经静脉起搏器导线意外误置于左心室而导致八年的左心室起搏。
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Inadvertent malposition of a transvenous pacing lead in the left ventricle.
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Transvenous pacing leads and systemic thromboemboli in patients with intracardiac shunts: a multicenter study.心内分流患者经静脉起搏导线与系统性血栓栓塞：一项多中心研究
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Malposition of transvenous pacing lead in the left ventricle.
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Permanent pacemakers: 8-year follow-up study. Incidence and management of congestive cardiac failure and perforations.永久性心脏起搏器：8年随访研究。充血性心力衰竭和穿孔的发生率及处理
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Complications of permanent transvenous pacing.永久性经静脉起搏的并发症。
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Right atrial thrombus and recurrent pulmonary emboli secondary to permanent cardiac pacing--a case report and short review of literature.永久性心脏起搏继发右心房血栓形成和复发性肺栓塞——病例报告及文献综述
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