Sugiyama Kayo, Koizumi Nobusato, Nishibe Toshiya, Ogino Hitoshi
Department of Cardiac Surgery, Aichi Medical University Hospital, Nagakute, Aichi, Japan.
Department of Cardiovascular Surgery, Tokyo Medical University Hospital, Shinjuku, Tokyo, Japan.
Interact Cardiovasc Thorac Surg. 2018 Jul 1;27(1):142-144. doi: 10.1093/icvts/ivy042.
Temporary epicardial pacing wires (TEPWs) have been used routinely in cardiovascular surgery. Most TEPWs are associated with low morbidity, and serious complications rarely occur. Migration of TEPWs is rare and typically involves the right side of the heart. Migration into the left side of the heart is extremely rare, and most patients with this complication have been treated with open surgery. We describe 2 patients with migration of TEPWs into the left side of the heart who were treated using a catheter intervention technique.
临时心外膜起搏导线(TEPW)已在心血管手术中常规使用。大多数TEPW的发病率较低,严重并发症很少发生。TEPW移位很少见,通常累及心脏右侧。移位至心脏左侧极为罕见,大多数有此并发症的患者已接受开放手术治疗。我们描述了2例TEPW移位至心脏左侧的患者,他们采用导管介入技术进行了治疗。