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植入式心脏复律除颤器导线导致右心室和胸壁穿孔并嵌入胸壁皮肤组织

Right Ventricular and Chest Wall Perforation with Implantable Cardioverter-Defibrillator Lead with Lodgment into the Cutaneous Tissue of the Chest Wall.

作者信息

Carson Philip S, Garg Jalag, Nazir Talha, Bozorgnia Babak

机构信息

Lehigh Valley Health Network, Allentown, PA.

出版信息

J Innov Card Rhythm Manag. 2017 Sep 15;8(9):2849-2851. doi: 10.19102/icrm.2017.080904. eCollection 2017 Sep.

DOI:10.19102/icrm.2017.080904
PMID:32477778
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7252744/
Abstract

Implantable cardioverter-defibrillator (ICD) lead perforation is a rare but serious complication of cardiac device implantation. Subacute (24 h to one month) and delayed (>1 month) presentations of rupture are also rare. Here we report a case of right ventricular perforation by a ventricular ICD lead in a 61-year-old man that was detected four months' postimplantation. The lead was present out from his chest wall and was palpable beneath the skin.

摘要

植入式心脏转复除颤器（ICD）导线穿孔是心脏设备植入罕见但严重的并发症。亚急性（24小时至1个月）和延迟（>1个月）的导线破裂表现也很罕见。在此，我们报告一例61岁男性患者，其心室ICD导线在植入后四个月被检测出发生右心室穿孔。导线穿出胸壁，在皮下可触及。

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本文引用的文献

1
Incidence of Cardiac Perforation With Conventional and With Leadless Pacemaker Systems: A Systematic Review and Meta-Analysis.传统起搏器系统和无导线起搏器系统导致心脏穿孔的发生率：一项系统评价和荟萃分析。
J Cardiovasc Electrophysiol. 2017 Mar;28(3):336-346. doi: 10.1111/jce.13140. Epub 2017 Jan 11.
2
Diagnosis and management of iatrogenic cardiac perforation caused by pacemaker and defibrillator leads.起搏器和除颤器导线致医源性心脏穿孔的诊断和处理。
Europace. 2017 Jun 1;19(6):1031-1037. doi: 10.1093/europace/euw074.
3
Incidence, management, and prevention of right ventricular perforation by pacemaker and implantable cardioverter defibrillator leads.
起搏器和植入式心脏复律除颤器导线导致右心室穿孔的发生率、处理及预防
Pacing Clin Electrophysiol. 2014 Dec;37(12):1602-9. doi: 10.1111/pace.12472. Epub 2014 Jul 29.
4
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.