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带有美敦力Micra无导线起搏器的右心室起搏导线意外断裂

Accidental Snapping of Right Ventricular Pacing Lead with MICRA.

作者信息

Guleria Vivek S, Sharma Prafull, Bharadwaj Prashant

机构信息

Department of Cardiology, Army Hospital Research & Referral, New Delhi, India.

出版信息

J Saudi Heart Assoc. 2020 Sep 1;32(3):408-409. doi: 10.37616/2212-5043.1116. eCollection 2020.

DOI:10.37616/2212-5043.1116
PMID:33299783
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7721444/
Abstract

Leadless Pacemaker implantation rates are increasing worldwide. These pacemakers have to be deployed, captured and redeployed in order to achieve optimal electric parameters. Various complications occur during this procedure. We herein report a unique case, where right ventricular (RV) pacing lead of the patient was accidently snapped with the tines during deployment of intracardiac pacemaker in an elderly male with pocket site infection.

摘要

无导线起搏器的植入率在全球范围内都在上升。为了获得最佳电参数，这些起搏器必须进行部署、捕捉和重新部署。在此过程中会出现各种并发症。我们在此报告一个独特的病例，在一名患有囊袋部位感染的老年男性患者进行心内起搏器部署时，其右心室（RV）起搏导线意外与尖齿断开。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfcc/7721444/6da59494471f/sha-32-03-408f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfcc/7721444/6da59494471f/sha-32-03-408f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfcc/7721444/6da59494471f/sha-32-03-408f1.jpg

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本文引用的文献

1
Leadless pacemaker tether failure during recapture attempt leading to device embolization.在尝试重新夺获时无导线起搏器系绳失败导致装置栓塞。
HeartRhythm Case Rep. 2019 Jan 23;5(5):247-250. doi: 10.1016/j.hrcr.2019.01.007. eCollection 2019 May.
2
A leadless pacemaker in the real-world setting: The Micra Transcatheter Pacing System Post-Approval Registry.真实世界环境中的无导线起搏器：Micra 经导管起搏系统上市后注册研究。
Heart Rhythm. 2017 Sep;14(9):1375-1379. doi: 10.1016/j.hrthm.2017.05.017. Epub 2017 May 11.
3
Long-term outcomes in leadless Micra transcatheter pacemakers with elevated thresholds at implantation: Results from the Micra Transcatheter Pacing System Global Clinical Trial.
植入时阈值升高的无导线Micra经导管起搏器的长期预后：Micra经导管起搏系统全球临床试验结果
Heart Rhythm. 2017 May;14(5):685-691. doi: 10.1016/j.hrthm.2017.01.026. Epub 2017 Jan 19.
4
Lead-related infective endocarditis: Factors influencing early and long-term survival in patients undergoing transvenous lead extraction.铅相关感染性心内膜炎：影响经静脉拔除导线患者早期和长期生存的因素。
Heart Rhythm. 2017 Jan;14(1):43-49. doi: 10.1016/j.hrthm.2016.10.007. Epub 2016 Oct 7.
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A Leadless Intracardiac Transcatheter Pacing System.无导线心脏内介入起搏系统。
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Percutaneous Implantation of an Entirely Intracardiac Leadless Pacemaker.经皮植入全心腔内无导线起搏器。
N Engl J Med. 2015 Sep 17;373(12):1125-35. doi: 10.1056/NEJMoa1507192. Epub 2015 Aug 30.
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Complications after cardiac implantable electronic device implantations: an analysis of a complete, nationwide cohort in Denmark.心脏植入式电子设备植入后的并发症：丹麦全国完整队列分析
Eur Heart J. 2014 May;35(18):1186-94. doi: 10.1093/eurheartj/eht511. Epub 2013 Dec 17.