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既往早期原位心脏移植患者的高复杂性导线取出术：首例病例报告

Highly complicated lead extraction procedure in patient with previous early orthotopic heart transplantation: A first case report.

作者信息

Schillaci Vincenzo, Mascia Giuseppe, Shopova Gergana, Chiariello Paola, Ciardiello Carmine, Solimene Francesco

机构信息

Electrophysiology Unit Clinica Montevergine Mercogliano Italy.

Cardiology Department Ospedale Cava de Tirreni Italy.

出版信息

Clin Case Rep. 2018 Oct 19;6(12):2319-2321. doi: 10.1002/ccr3.1823. eCollection 2018 Dec.

DOI:10.1002/ccr3.1823
PMID:30564321
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6293138/
Abstract

We report a first case of a highly complicated lead extraction in a young man who previously underwent orthotopic heart transplantation (OHT).Lead extraction in transplanted patients may be a feasible and safe procedure in order to maintain a low infective risk and to preserve alternative vascular access sites.

摘要

我们报告了首例在一名曾接受原位心脏移植（OHT）的年轻男性患者中进行的高度复杂的导线拔除病例。对于移植患者而言，导线拔除可能是一种可行且安全的操作，以便维持较低的感染风险并保留其他血管通路部位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/826b/6293138/dd94d92d9be3/CCR3-6-2319-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/826b/6293138/3be49dfe69d7/CCR3-6-2319-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/826b/6293138/dd94d92d9be3/CCR3-6-2319-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/826b/6293138/3be49dfe69d7/CCR3-6-2319-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/826b/6293138/dd94d92d9be3/CCR3-6-2319-g002.jpg

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本文引用的文献

1
Retained pacemaker and implantable cardioverter-defibrillator components after heart transplantation are common and may lead to adverse events.心脏移植后保留的起搏器和植入式心脏复律除颤器组件很常见，可能导致不良事件。
Europace. 2018 Aug 1;20(8):1312-1317. doi: 10.1093/europace/eux213.
2
Frequency and clinical impact of retained implantable cardioverter defibrillator lead materials in heart transplant recipients.心脏移植受者体内植入式心律转复除颤器导线材料残留的频率及临床影响
PLoS One. 2017 May 2;12(5):e0176925. doi: 10.1371/journal.pone.0176925. eCollection 2017.
3
Infection of Retained Defibrillator Lead Fragment after Heart Transplant.
心脏移植后残留除颤器导线碎片感染
Clin Pract. 2017 Apr 6;7(2):857. doi: 10.4081/cp.2017.857.
4
Frequency and sequelae of retained implanted cardiac device material post heart transplantation.心脏移植后植入心脏装置材料残留的频率及后遗症
Pacing Clin Electrophysiol. 2014 Feb;37(2):242-8. doi: 10.1111/pace.12274. Epub 2014 Jan 15.
5
Post heart transplant extraction of the abandoned fragments of pacing and defibrillation leads: proposed management algorithm.心脏移植后废弃起搏和除颤电极的取出：提出的处理算法。
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6
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Interact Cardiovasc Thorac Surg. 2012 Jul;15(1):158-60. doi: 10.1093/icvts/ivs100. Epub 2012 Apr 2.
7
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Heart Rhythm. 2009 Jul;6(7):1085-104. doi: 10.1016/j.hrthm.2009.05.020. Epub 2009 May 22.