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成功经皮取出异常打结的临时起搏器导线。

Successful percutaneous retrieval of unusually knotted temporary pacemaker lead.

作者信息

Nawale Jaywant M, Patil Sandip N, Nalawade Digvijay D, Borikar Nikhil A, Sonawane Bhushan S, Chaurasia Ajay S

机构信息

Department of Cardiology, TNMC & BYL NAIR Ch. Hospital Mumbai, India.

Department of Cardiology, TNMC & BYL NAIR Ch. Hospital Mumbai, India.

出版信息

Indian Pacing Electrophysiol J. 2018 Jul-Aug;18(4):148-149. doi: 10.1016/j.ipej.2018.02.004. Epub 2018 Mar 2.

DOI:10.1016/j.ipej.2018.02.004
PMID:29477309
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6090000/
Abstract

Implantation of temporary pacemaker lead is commonly performed procedure and is usually safe, but can sometimes develop rare and serious complication like intracardiac lead knotting which may require challenging retrieval techniques. We report a case of successful percutaneous retrieval of unusually knotted right internal jugular venous temporary pacing lead via left femoral transvenous approach using snare over a long sheath after cutting the electrode proximally and thus avoiding any surgical intervention.

摘要

临时起搏器导线植入是一种常见的操作，通常是安全的，但有时可能会出现罕见且严重的并发症，如心内导线打结，这可能需要采用具有挑战性的取出技术。我们报告了一例通过左股静脉途径，在近端切断电极后，使用圈套器套在长鞘管上，成功经皮取出异常打结的右颈内静脉临时起搏导线的病例，从而避免了任何外科干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f220/6090000/f85ed48387fe/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f220/6090000/5c51c22ce924/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f220/6090000/f85ed48387fe/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f220/6090000/5c51c22ce924/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f220/6090000/f85ed48387fe/gr2.jpg

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Inadvertent Removal of a Right Ventricular Pacemaker Lead by a Knotted Transvenous Pacing Wire.打结的经静脉起搏导线意外拔除右心室起搏器导线
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本文引用的文献

1
Unraveling a Knot in the Heart: Tackling an Unanticipated Complication.解开心中的结：应对意外并发症
JACC Cardiovasc Interv. 2016 Jul 25;9(14):1510-1. doi: 10.1016/j.jcin.2016.04.048. Epub 2016 Jun 29.
2
The naughty knot in catheterisation laboratory.导管室里的棘手难题。
BMJ Case Rep. 2014 Jun 9;2014:bcr2014204127. doi: 10.1136/bcr-2014-204127.
3
Transfemoral percutaneous removal of a knotted Swan-Ganz catheter.经股动脉切开取出打结的 Swan-Ganz 导管。
Catheter Cardiovasc Interv. 2009 Nov 1;74(5):802-4. doi: 10.1002/ccd.22201.
4
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.
5
Pulmonary artery catheter complications: report on a case of a knot accident and literature review.肺动脉导管并发症：一例打结事故报告及文献综述
Rev Hosp Clin Fac Med Sao Paulo. 2004 Apr;59(2):77-85. doi: 10.1590/s0041-87812004000200006. Epub 2004 Apr 26.
6
Knotting of a pulmonary artery catheter in the superior vena cava: surgical removal and a word of caution.肺动脉导管在上腔静脉内打结：手术取出及一则警示
Heart. 2004 May;90(5):e28. doi: 10.1136/hrt.2003.031997.
7
Removal of knotted intravascular devices. Case report and review of the literature.
Eur J Vasc Endovasc Surg. 2002 Mar;23(3):189-94. doi: 10.1053/ejvs.2001.1591.