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使用近端电极切断和远端圈套技术经皮取出打结的临时起搏器

Percutaneous Retrieval of a Knotted Provisional Pacemaker Using Proximal Electrode Cut off and Distal End Snaring.

作者信息

Mohandes Mohsen, Rodríguez Natalia, Fernández Francisco, Moreno Cristina, Palazón Oscar, Bardají Alfredo

机构信息

Department of Interventional Cardiology, Division of Cardiology, Joan XXIII University Hospital, Tarragona, Spain.

Vascular and Endovascular Surgery, Joan XXIII University Hospital, Tarragona, Spain.

出版信息

Heart Views. 2017 Apr-Jun;18(2):50-53. doi: 10.4103/1995-705X.208672.

DOI:10.4103/1995-705X.208672
PMID:28706596
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5501029/
Abstract

Although provisional pacemaker implantation can safely be done in many cases, a rare complication such as knotted electrode has been described, especially when the procedure is performed without fluoroscopy guidance. We describe a case of knot creation in a provisional pacemaker which was successfully retrieved using a snare after cutting the electrode proximally.

摘要

尽管在许多情况下可以安全地进行临时起搏器植入，但已经描述了一种罕见的并发症，如电极打结，尤其是在没有荧光透视引导的情况下进行该操作时。我们描述了一例临时起搏器电极打结的病例，在近端切断电极后使用圈套器成功取出。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbf/5501029/a0e615761752/HV-18-50-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbf/5501029/3f0a039c779a/HV-18-50-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbf/5501029/390f8497bcf4/HV-18-50-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbf/5501029/d971e63610a3/HV-18-50-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbf/5501029/b7033c9a64c3/HV-18-50-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbf/5501029/bfa856047119/HV-18-50-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbf/5501029/8642a0c578fa/HV-18-50-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbf/5501029/b678f0142a38/HV-18-50-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbf/5501029/d0b0ae86d173/HV-18-50-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbf/5501029/a58cc8020912/HV-18-50-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbf/5501029/a0e615761752/HV-18-50-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbf/5501029/3f0a039c779a/HV-18-50-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbf/5501029/390f8497bcf4/HV-18-50-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbf/5501029/d971e63610a3/HV-18-50-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbf/5501029/b7033c9a64c3/HV-18-50-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbf/5501029/bfa856047119/HV-18-50-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbf/5501029/8642a0c578fa/HV-18-50-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbf/5501029/b678f0142a38/HV-18-50-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbf/5501029/d0b0ae86d173/HV-18-50-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbf/5501029/a58cc8020912/HV-18-50-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbf/5501029/a0e615761752/HV-18-50-g010.jpg

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本文引用的文献

1
Percutaneous retrieval of a pulmonary artery catheter knot in pacing electrodes.
Cardiovasc Intervent Radiol. 2007 Sep-Oct;30(5):1082-4. doi: 10.1007/s00270-007-9101-y.
2
[Temporary pacemakers: current use and complications].[临时起搏器：当前应用与并发症]
Rev Esp Cardiol. 2004 Nov;57(11):1045-52.
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The use of an intracardiac pacemaker in the correction of total heart block.心脏内起搏器在完全性心脏传导阻滞矫正中的应用。
Surg Forum. 1958;9:245-8.
4
Innovative use of a long sheath for removal of a knotted pacing electrode.创新使用长鞘管移除打结的起搏电极。
Cathet Cardiovasc Diagn. 1996 Sep;39(1):111-2. doi: 10.1002/(SICI)1097-0304(199609)39:1<111::AID-CCD25>3.0.CO;2-L.
5
Intracardiac knotting of a transvenous pacemaker.经静脉起搏器的心内打结
Can Med Assoc J. 1969 Mar 22;100(12):581-2.