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植入式心脏电子设备使用者需注意冠状动脉情况。

Beware of the coronary arteries with implantable cardiac electronic devices.

作者信息

Barold S Serge, Pang Benjamin J, Mond Harry G

机构信息

Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.

Department of Cardiology, Royal Melbourne Hospital, Parkville, Victoria, Australia.

出版信息

Herzschrittmacherther Elektrophysiol. 2017 Sep;28(3):317-319. doi: 10.1007/s00399-017-0518-y.

DOI:10.1007/s00399-017-0518-y
PMID:28819689
Abstract

The transvenous implantation of cardiac devices may sometimes cause serious complications involving the coronary arteries. The left anterior descending artery may be injured during nonapical right ventricular implantation while a right atrial lead may injure the right or circumflex coronary artery. Injury of a left internal mammary graft to a coronary artery may cause myocardial infarction.

摘要

心脏装置的经静脉植入有时可能会引发涉及冠状动脉的严重并发症。在非心尖部右心室植入过程中，左前降支动脉可能会受到损伤，而右心房导联可能会损伤右冠状动脉或回旋支冠状动脉。左乳内动脉移植至冠状动脉时发生损伤可能会导致心肌梗死。

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本文引用的文献

1
Inadequacy of fluoroscopy and electrocardiogram in predicting septal position in RVOT pacing - Validation with cardiac computed tomography.荧光透视检查和心电图在预测右心室流出道起搏时室间隔位置方面的不足——通过心脏计算机断层扫描进行验证
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A randomized comparison of fluoroscopic techniques for implanting pacemaker lead on the right ventricular outflow tract septum.用于在右心室流出道间隔植入起搏器导线的透视技术的随机比较。
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Imaging and Right Ventricular Pacing Lead Position: A Comparison of CT, MRI, and Echocardiography.
影像学与右心室起搏导线位置：CT、MRI和超声心动图的比较
Pacing Clin Electrophysiol. 2016 Apr;39(4):382-92. doi: 10.1111/pace.12817. Epub 2016 Feb 18.
4
Right coronary artery perforation by an active-fixation atrial pacing lead resulting in life-threatening tamponade.主动固定型心房起搏导线导致右冠状动脉穿孔，引发危及生命的心包填塞。
J Arrhythm. 2015 Oct;31(5):313-5. doi: 10.1016/j.joa.2015.01.002. Epub 2015 Mar 16.
5
Injury to the coronary arteries and related structures by implantation of cardiac implantable electronic devices.心脏植入式电子设备植入导致的冠状动脉及相关结构损伤。
Europace. 2015 Apr;17(4):524-9. doi: 10.1093/europace/euu345. Epub 2015 Jan 6.
6
The prevalence and characteristics of intra-atrial right coronary artery anomaly in 9,284 patients referred for coronary computed tomography angiography.9284例接受冠状动脉计算机断层扫描血管造影患者的心房内右冠状动脉异常的患病率及特征
Eur J Radiol. 2014 Jul;83(7):1129-1134. doi: 10.1016/j.ejrad.2014.04.017. Epub 2014 May 1.
7
Proximity of pacemaker and implantable cardioverter-defibrillator leads to coronary arteries as assessed by cardiac computed tomography.通过心脏计算机断层扫描评估起搏器和植入式心脏复律除颤器导线与冠状动脉的接近程度。
Pacing Clin Electrophysiol. 2014 Jun;37(6):717-23. doi: 10.1111/pace.12330. Epub 2013 Dec 20.
8
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9
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Circulation. 2012 Sep 4;126(10):1314-5. doi: 10.1161/CIRCULATIONAHA.112.097527.
10
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Neth Heart J. 2014 Jun;22(6):309. doi: 10.1007/s12471-012-0272-z.