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Riata植入式心脏复律除颤器导线极晚期穿孔——病例报告

Very late perforation by a Riata implantable cardioverter-defibrillator lead-A case report.

作者信息

Nozoe Masatsugu, Sakamoto Kazuo, Nagatomo Daisuke, Suematsu Nobuhiro, Kubota Toru, Okabe Masanori, Yamamoto Yusuke

机构信息

Division of Cardiology, Cardiovascular and Aortic Center Saiseikai Fukuoka General Hospital Fukuoka Japan.

出版信息

J Arrhythm. 2018 Mar 30;34(3):319-321. doi: 10.1002/joa3.12048. eCollection 2018 Jun.

DOI:10.1002/joa3.12048
PMID:29951154
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6009781/
Abstract

Cardiac perforation by a transvenous lead is an uncommon but serious complication. We herein present a case of very late perforation of a Riata implantable cardioverter-defibrillator lead, which occurred 8 years after implantation. The patient was successfully treated with percutaneous lead extraction using an excimer laser. Lead perforation should be considered, even after years from implantation.

摘要

经静脉导线导致的心脏穿孔是一种罕见但严重的并发症。我们在此报告一例Riata植入式心脏复律除颤器导线非常晚期的穿孔病例，该穿孔发生在植入8年后。患者通过使用准分子激光经皮导线拔除术成功治疗。即使在植入数年之后，也应考虑导线穿孔的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9605/6009781/fe22464f6f2c/JOA3-34-319-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9605/6009781/49445e40d47a/JOA3-34-319-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9605/6009781/fe22464f6f2c/JOA3-34-319-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9605/6009781/49445e40d47a/JOA3-34-319-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9605/6009781/fe22464f6f2c/JOA3-34-319-g002.jpg

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Clin Cardiol. 2020 Apr;43(4):386-393. doi: 10.1002/clc.23327. Epub 2020 Jan 6.

本文引用的文献

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Late perforation of Durata ICD lead--a case report.杜拉塔 ICD 导线迟发性穿孔——病例报告
Indian Heart J. 2014 Jul-Aug;66(4):470-2. doi: 10.1016/j.ihj.2014.05.018.
2
Very late perforation of an implantable cardioverter defibrillator lead: a case report.植入式心脏复律除颤器导线的极晚期穿孔：一例报告
Br J Gen Pract. 2014 Feb;64(619):107-8. doi: 10.3399/bjgp14X677329.
3
Delayed ICD lead cardiac perforation: comparison of small versus standard-diameter leads implanted in a single center.植入式心律转复除颤器（ICD）导线延迟性心脏穿孔：单中心植入的小直径与标准直径导线的比较
Pacing Clin Electrophysiol. 2011 Apr;34(4):475-83. doi: 10.1111/j.1540-8159.2010.03002.x. Epub 2011 Jan 5.
4
Timing of delayed perforation with the St. Jude Riata lead: a single-center experience and a review of the literature.圣犹达Riata导线延迟穿孔的时间：单中心经验及文献综述
Heart Rhythm. 2008 Dec;5(12):1667-72. doi: 10.1016/j.hrthm.2008.09.017. Epub 2008 Sep 16.
5
Management of subacute and delayed right ventricular perforation with a pacing or an implantable cardioverter-defibrillator lead.使用起搏或植入式心脏复律除颤器导线处理亚急性和延迟性右心室穿孔。
Am J Cardiol. 2008 Nov 15;102(10):1352-5. doi: 10.1016/j.amjcard.2008.07.025. Epub 2008 Sep 12.