Höhne U, Schild H, Hake U
Institut für Klinische Strahlenkunde, Johannes-Gutenberg-Universität, Mainz.
Rofo. 1989 Nov;151(5):586-9. doi: 10.1055/s-2008-1047246.
The large number of pace-makers introduced transvenously has resulted in increasing the number of complications, amongst which infections and dislocations are prominent. It is usually necessary to remove the electrode, which can be attempted percutaneously by using a Dormia basket, a loop or forceps. Amongst the complications of this procedure are tears to the myocardium, with the risk of pericardial tamponade, or tears of the tricuspid valve leading to tricuspid insufficiency. Consequently, thoracic surgical intervention should be available if necessary. Four successful procedures are described.
大量经静脉植入的起搏器导致并发症数量增加，其中感染和脱位较为突出。通常需要取出电极，可尝试经皮使用多尔米亚篮、圈套器或镊子来进行。该操作的并发症包括心肌撕裂，有发生心包填塞的风险，或三尖瓣撕裂导致三尖瓣关闭不全。因此，必要时应进行胸外科手术干预。本文描述了四例成功的手术。
