Gupta Anish, Devagourou Velayoudam, Choudhury Minati, Saurabh Gaind
Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, 98, Om Vihar Phase - 1 A Shiv Shankar Road, Uttam Nagar, New Delhi, 110059 India.
Department of Cardiac Anaesthesia, All India Institute of Medical Sciences, New Delhi, India.
Indian J Thorac Cardiovasc Surg. 2019 Jan;35(1):78-80. doi: 10.1007/s12055-018-0690-7. Epub 2018 Aug 9.
There is continued increase in the rate of cardiac implantable devices and so are complications associated with them which may necessitate their extraction. The common indications for lead extraction are lead infection, lead malfunction, lead upgrade, or retained broken leads. Different methods are used; most common are percutaneous but sometimes cardiac surgical help may be required. We present one such unique case where leads were not approachable through pacemaker pocket and sternotomy was required and stuck leads were extracted via innominate vein, pulling from either end.
心脏植入式设备的植入率持续上升，与之相关的并发症也不断增加，这可能需要将其取出。导线取出的常见指征包括导线感染、导线故障、导线升级或残留断裂导线。人们采用了不同的方法；最常见的是经皮方法，但有时可能需要心脏外科手术协助。我们在此呈现一个独特的病例，该病例中无法通过起搏器囊袋触及导线，需要进行胸骨切开术，通过无名静脉从两端牵拉，取出粘连的导线。
