Grunewald R A, Smith P L, Nihoyannopoulos P, Playford R J, Levi S, Hodgson H J
Department of Medicine, Royal Postgraduate Medical School, London, England.
Clin Cardiol. 1989 Feb;12(2):106-8. doi: 10.1002/clc.4960120208.
Pacing wire thrombosis may be invisible echocardiographically while producing severe symptoms. We report a patient whose pacing wire thrombosis presented as a pyrexial illness 5 months after its insertion. Treatment with tissue plasminogen activator provoked cardiovascular collapse; therefore, we recommend that such thrombosis be treated surgically.
起搏导线血栓形成在产生严重症状时,超声心动图可能无法显示。我们报告一例患者,其起搏导线血栓形成在植入后5个月表现为发热性疾病。用组织纤溶酶原激活剂治疗引发了心血管衰竭;因此,我们建议此类血栓形成采用手术治疗。