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在一名正在接受皮质类固醇治疗的患者中,与心房导线穿孔相关的静脉穿刺部位对侧发生亚急性气胸。

Subacute pneumothorax contralateral to the venous access site associated with atrial lead perforation in a patient who was receiving corticosteroid therapy.

作者信息

Ishizue Naruya, Kishihara Jun, Niwano Shinichi, Ako Junya

机构信息

Department of Cardiovascular Medicine, Kitasato University School of Medicine, Sagamihara, Japan.

出版信息

J Arrhythm. 2017 Aug;33(4):335-337. doi: 10.1016/j.joa.2017.03.003. Epub 2017 May 4.

DOI:10.1016/j.joa.2017.03.003
PMID:28765768
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5529589/
Abstract

Pneumothorax contralateral to the venous access site due to the right atrial lead is an uncommon complication. Concomitant steroid use is known as a risk factor of pacemaker lead perforation. We report a rare case of subacute contralateral pneumothorax due to a screw-in atrial lead perforation that occurred after dual-chamber pacemaker implantation in a patient who was receiving steroid therapy. The pneumothorax disappeared, and no recurrence was observed during follow-up with close observation alone.

摘要

右心房导线导致的与静脉穿刺部位对侧的气胸是一种罕见的并发症。同时使用类固醇被认为是起搏器导线穿孔的一个危险因素。我们报告了一例罕见的亚急性对侧气胸病例,该病例是由于一名正在接受类固醇治疗的患者在植入双腔起搏器后发生了旋入式心房导线穿孔所致。气胸消失,在仅密切观察的随访期间未观察到复发。

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本文引用的文献

1
Right atrial lead fixation type and lead position are associated with significant variation in complications.右心房导线固定类型和导线位置与并发症的显著差异相关。
J Interv Card Electrophysiol. 2016 Dec;47(3):313-319. doi: 10.1007/s10840-016-0181-y. Epub 2016 Sep 9.
2
Incidence and predictors of cardiac perforation after permanent pacemaker placement.永久性起搏器植入术后心脏穿孔的发生率及预测因素
Heart Rhythm. 2005 Sep;2(9):907-11. doi: 10.1016/j.hrthm.2005.06.011.
3
Pericardial effusion and right-sided pneumothorax resulting from an atrial active-fixation lead.
晚期起搏器导线相关心房穿孔和气胸的成功心包修复与覆盖:一例报告
Gen Thorac Cardiovasc Surg Cases. 2023 Nov 22;2(1):102. doi: 10.1186/s44215-023-00117-3.
4
Atrial lead perforation early after device implantation-a case report and literature review.装置植入后早期心房导线穿孔——病例报告及文献综述
Front Surg. 2024 Apr 5;11:1290574. doi: 10.3389/fsurg.2024.1290574. eCollection 2024.
5
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HeartRhythm Case Rep. 2023 Jul 20;9(9):680-684. doi: 10.1016/j.hrcr.2023.07.004. eCollection 2023 Sep.
6
Atrial lead perforation early after device implantation: A case series.装置植入后早期的心房导线穿孔:病例系列
HeartRhythm Case Rep. 2020 Dec 2;7(2):100-105. doi: 10.1016/j.hrcr.2020.11.012. eCollection 2021 Feb.
7
Contralateral pneumothorax in the subacute phase after pacemaker implantation: lead retention and follow-up.
J Geriatr Cardiol. 2018 Dec;15(12):744-746. doi: 10.11909/j.issn.1671-5411.2018.12.007.
8
Chest pain following permanent pacemaker insertion… a case of pneumopericardium due to atrial lead perforation.永久性起搏器植入术后胸痛……一例因心房导线穿孔导致的心包积气病例。
BMJ Case Rep. 2018 Oct 25;2018:bcr-2018-226318. doi: 10.1136/bcr-2018-226318.
心房主动固定导线导致的心包积液和右侧气胸。
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