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经锁骨下动脉误将永久性起搏器植入患者左心室：一例报告。

Permanent pacemaker implanted into patient's left ventricle via subclavian artery by mistake: a case report.

作者信息

Tang Guanmin, Zhai Changlin, Wang Zhiyong, Chen Hao

机构信息

Department of Cardiology, Jiaxing Cardiovascular Key Discipline, First Affiliated Hospital of Jiaxing University, No. 1882 South Zhonghuan Road, Jiaxing, Zhejiang, 314000, China.

出版信息

BMC Cardiovasc Disord. 2015 May 12;15:39. doi: 10.1186/s12872-015-0032-2.

DOI:10.1186/s12872-015-0032-2
PMID:25964130
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4429375/
Abstract

BACKGROUND

Although various iatrogenic complications could be observed in the process of permanent pacemaker implantation, pacemaker electrode mistakenly implanted into left ventricle via subclavian artery and aortic valve has not been reported.

CASE PRESENTATION

Herein, we reported a 71-year-old woman with permanent pacemaker mistakenly implanted into the left ventricle. During the operation of permanent pacemaker implantation, puncture was performed on her subclavian artery by mistake, and then the pacemaker electrode was put into the cardiac apex of left ventricle via ascending aorta reversely.

CONCLUSION

The further operation could be conducted.

摘要

背景

尽管在永久性起搏器植入过程中可观察到各种医源性并发症，但起搏器电极经锁骨下动脉误植入左心室并进入主动脉瓣的情况尚未见报道。

病例报告

在此，我们报告了一名71岁女性，其永久性起搏器被误植入左心室。在永久性起搏器植入手术过程中，误对其锁骨下动脉进行了穿刺，随后起搏器电极经升主动脉反向置入左心室心尖。

结论

可进行进一步手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7998/4429375/8cf1bb43987f/12872_2015_32_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7998/4429375/f52c080e4e4a/12872_2015_32_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7998/4429375/fad1828669d2/12872_2015_32_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7998/4429375/8cf1bb43987f/12872_2015_32_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7998/4429375/f52c080e4e4a/12872_2015_32_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7998/4429375/fad1828669d2/12872_2015_32_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7998/4429375/8cf1bb43987f/12872_2015_32_Fig3_HTML.jpg

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Indian Pacing Electrophysiol J. 2013 Sep 1;13(5):170-2. doi: 10.1016/s0972-6292(16)30668-4. eCollection 2013.
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[Foreseeable variation in parameters measured at implant and follow-up of permanent pacemaker active fixation electrodes].
Med Intensiva. 2012 May;36(4):270-6. doi: 10.1016/j.medin.2011.11.001. Epub 2011 Dec 21.
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Right ventricular septal pacing: a comparative study of outflow tract and mid ventricular sites.右心室间隔部起搏：流出道与心室中部位点的比较研究
Pacing Clin Electrophysiol. 2010 Oct;33(10):1169-73. doi: 10.1111/j.1540-8159.2010.02836.x.
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Comparison of effectiveness of right ventricular septal pacing versus right ventricular apical pacing.右室间隔部起搏与右室心尖部起搏的效果比较。
Am J Cardiol. 2010 May 15;105(10):1426-32. doi: 10.1016/j.amjcard.2010.01.004. Epub 2010 Mar 30.
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The effects of short time right ventricular pacing on left atrial mechanical functions.短时间右心室起搏对左心房机械功能的影响。
Indian Pacing Electrophysiol J. 2009 May 15;9(3):151-7.
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Anadolu Kardiyol Derg. 2008 Oct;8(5):350-3.
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Long-term performance of active-fixation pacing leads: a prospective study.主动固定起搏导线的长期性能：一项前瞻性研究。
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An intracardiac pacemaker for Stokes-Adams seizures.用于斯托克斯-亚当斯发作的心脏内起搏器。
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