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冷冻球囊肺静脉隔离术中嵌顿于右肺静脉的环形导管破裂

Breakage of a Circular Catheter Wedged in a Right Pulmonary Vein during Cryoballoon Pulmonary Vein Isolation.

作者信息

Makimoto Hisaki, Kelm Malte, Shin Dong-In, Blockhaus Christian

机构信息

Cardiac Arrhythmia Service, Division of Cardiology, Pulmonology and Vascular Medicine, University Duesseldorf, Medical Faculty, Germany.

出版信息

Intern Med. 2017;56(9):1057-1059. doi: 10.2169/internalmedicine.56.7924. Epub 2017 May 1.

DOI:10.2169/internalmedicine.56.7924
PMID:28458312
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5478567/
Abstract

A 50-year-old man with paroxysmal atrial fibrillation underwent pulmonary vein isolation (PVI) using a cryoballoon. During the PVI procedure, a circular diagnostic catheter (CDC) was wedged deeply into the right PV (RPV). The lung tissues seemed to be tightening around the CDC. After various attempts to resolve the situation, the shaft of the CDC was completely torn, and the circular part remained in the RPV. At a follow-up of three months, the patient showed neither atrial fibrillation events nor clinical symptoms. We herein report a broken CDC shaft during PVI with a cryoballoon, which has not yet been reported.

摘要

一名患有阵发性心房颤动的50岁男性接受了使用冷冻球囊的肺静脉隔离术（PVI）。在PVI手术过程中，一根环形诊断导管（CDC）深深楔入右肺静脉（RPV）。肺组织似乎在紧紧包裹着CDC。在尝试了各种方法来解决这种情况后，CDC的导管轴完全撕裂，环形部分留在了RPV中。在三个月的随访中，患者既没有发生心房颤动事件，也没有临床症状。我们在此报告了一例在使用冷冻球囊进行PVI时发生的CDC导管轴断裂事件，这尚未见报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a04/5478567/82a025425fa0/1349-7235-56-1057-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a04/5478567/ce6cf67ead28/1349-7235-56-1057-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a04/5478567/6b1f7f2c2e67/1349-7235-56-1057-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a04/5478567/82a025425fa0/1349-7235-56-1057-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a04/5478567/ce6cf67ead28/1349-7235-56-1057-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a04/5478567/6b1f7f2c2e67/1349-7235-56-1057-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a04/5478567/82a025425fa0/1349-7235-56-1057-g003.jpg

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J Innov Card Rhythm Manag. 2023 Nov 15;14(11):5637-5638. doi: 10.19102/icrm.2023.14112. eCollection 2023 Nov.
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Successful removal of a circular mapping catheter which perforated the pulmonary vein during cryoballoon ablation by lateral thoracotomy: a case report.通过侧胸壁切开术成功取出在冷冻球囊消融过程中穿透肺静脉的环形标测导管：一例病例报告
Eur Heart J Case Rep. 2020 Jul 6;4(4):1-5. doi: 10.1093/ehjcr/ytaa140. eCollection 2020 Aug.
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本文引用的文献

1
Incidence and characteristics of complications in the setting of second-generation cryoballoon ablation: A large single-center study of 500 consecutive patients.第二代冷冻球囊消融治疗中并发症的发生率和特点：一项 500 例连续患者的大型单中心研究。
Heart Rhythm. 2015 Jul;12(7):1476-82. doi: 10.1016/j.hrthm.2015.04.001. Epub 2015 Apr 3.
2
Best practice guide for cryoballoon ablation in atrial fibrillation: The compilation experience of more than 3000 procedures.房颤冷冻球囊消融治疗的最佳实践指南：3000 余例手术的编写经验。
Heart Rhythm. 2015 Jul;12(7):1658-66. doi: 10.1016/j.hrthm.2015.03.021. Epub 2015 Mar 14.
3
Acute Procedural Complications of Cryoballoon Ablation: A Comprehensive Review.
冷冻球囊消融术的急性操作并发症：一项全面综述。
J Atr Fibrillation. 2019 Oct 31;12(3):2208. doi: 10.4022/jafib.2208. eCollection 2019 Oct-Nov.
4
Wire perforation causing cardiopulmonary arrest during radiofrequency hot balloon ablation for pulmonary vein isolation.在用于肺静脉隔离的射频热球囊消融过程中，导线穿孔导致心肺骤停。
J Cardiol Cases. 2019 Feb 15;19(5):169-172. doi: 10.1016/j.jccase.2019.01.001. eCollection 2019 May.
Near-fatal coronary artery spasm during cryoballoon pulmonary vein isolation: an unreported complication.
冷冻球囊肺静脉隔离术中近乎致命的冠状动脉痉挛：一种未报道的并发症
Circ Arrhythm Electrophysiol. 2014 Dec;7(6):1273-4. doi: 10.1161/CIRCEP.114.001788.