May K J, Cardone J T, Stroebel P P, Riba A L
Department of Medicine, Mount Sinai Hospital, Hartford, Conn.
Arch Intern Med. 1988 Apr;148(4):903-4.
Thrombosis of intravascular catheters is a well-recognized and potentially serious complication, which has been treated successfully with thrombolytic agents. A routine echocardiogram in a patient with a temporary transvenous pacemaker demonstrated a large thrombus attached to the pacing electrode. This was dissolved successfully and uneventfully with high-dose intravenous streptokinase therapy. To our knowledge, this is the first report of the successful lysis of a right atrial thrombus complicating a temporary transvenous pacemaker.
血管内导管血栓形成是一种公认的、潜在严重的并发症，已通过溶栓剂成功治疗。一名植入临时经静脉起搏器患者的常规超声心动图显示起搏电极上附着有一大块血栓。通过大剂量静脉注射链激酶治疗，血栓成功溶解且过程顺利。据我们所知，这是首例成功溶解临时经静脉起搏器并发右心房血栓的报告。
