Or I, Roguin N, Yahalom M, Birjiniuk V, Amikam S
Cardiovasc Intervent Radiol. 1986;9(1):13-4. doi: 10.1007/BF02576975.
A 65-year-old man with Behçet's disease developed transient complete A-V block with syncope. An attempt to implant a permanent transvenous endocardial electrode failed owing to obstructions in the subclavian, innominate, and superior vena cava veins demonstrated by angiography. Sutureless epicardial electrodes were successfully implanted through a subxyphoid approach. Obstruction in the great veins is a common feature in patients with Behçet's disease. We suggest that patients with this disorder, who require a permanent pacemaker, should be investigated by angiography prior to implant to rule out obstruction in the upper great veins.
一名65岁的白塞病男性出现短暂性完全性房室传导阻滞并伴有晕厥。由于血管造影显示锁骨下静脉、无名静脉和上腔静脉存在阻塞，植入永久性经静脉心内膜电极的尝试失败。通过剑突下途径成功植入了无缝合的心外膜电极。大静脉阻塞是白塞病患者的常见特征。我们建议，对于患有这种疾病且需要植入永久性起搏器的患者，在植入前应通过血管造影进行检查，以排除上大静脉阻塞。
