• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

美敦力SelectSecure 3830起搏导线在成长中的儿科患者中晚期导线脱位的病例系列

Case series of late lead dislodgement of Medtronic SelectSecure 3830 pacing leads in growing paediatric patients.

作者信息

Ng Li Yen, Gallagher Sarah, Walsh Kevin P

机构信息

Department of Paediatric Cardiology, Children's Health Ireland at Crumlin, Cooley Road, Crumlin, Dublin D12 N512, Ireland.

出版信息

Eur Heart J Case Rep. 2021 Jan 12;5(2):ytaa545. doi: 10.1093/ehjcr/ytaa545. eCollection 2021 Feb.

DOI:10.1093/ehjcr/ytaa545
PMID:33598620
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7873804/
Abstract

BACKGROUND

The SelectSecure lumenless 3830 pacing lead is often considered to be the pacing lead of choice for transvenous pacing in children because of its small diameter, lead strength, and reliable long-term sensing and pacing characteristics. One of the potential long-term pitfalls of a sturdy pacing lead is relative retraction with growth in children resulting in late lead dislodgement.

CASE SUMMARY

We report two cases of late SelectSecure 3830 lead dislodgement at 11.8 years (Case 1) and 8.8 years (Case 2), respectively, post the initial implantation. Case 1 was diagnosed with congenital complete heart block (CHB) at 9 months old when he presented with unconfirmed diphtheria infection. Case 2 was diagnosed with CHB at 14 weeks of age with positive maternal anti-Ro antibodies. Both patients underwent implantation of a transvenous permanent pacemaker implantation with Medtronic SelectSecure 3830 lead due to symptomatic bradycardia. Apart from a pulse generator change at 8.5 years (Case 1) and 7 years (Case 2), respectively, post-implant due to normal battery depletion, both patients are well in the interim.

DISCUSSION

As part of the pacemaker follow-up for rapidly growing children, we recommend more frequent surveillance of lead 'tautness' by chest radiography especially in children with CHB with no underlying heart rhythm.

摘要

背景

SelectSecure无腔3830起搏导线因其直径小、导线强度高以及可靠的长期感知和起搏特性，常被认为是儿童经静脉起搏的首选起搏导线。坚固的起搏导线潜在的长期问题之一是随着儿童生长相对回缩，导致后期导线脱位。

病例总结

我们报告了两例分别在初次植入后11.8年（病例1）和8.8年（病例2）出现的SelectSecure 3830导线晚期脱位病例。病例1在9个月大时因疑似白喉感染被诊断为先天性完全性心脏传导阻滞（CHB）。病例2在14周龄时因母亲抗Ro抗体阳性被诊断为CHB。由于出现症状性心动过缓，两名患者均接受了美敦力SelectSecure 3830导线经静脉永久起搏器植入术。除了分别在植入后8.5年（病例1）和7年（病例2）因电池正常耗尽更换脉冲发生器外，两名患者在此期间情况良好。

讨论

作为对快速生长儿童起搏器随访的一部分，我们建议通过胸部X线检查更频繁地监测导线“张力”，尤其是对于无潜在心律的CHB儿童。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ce3/7873804/00a9b2768d6d/ytaa545f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ce3/7873804/45f79bf62537/ytaa545f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ce3/7873804/868f98f80142/ytaa545f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ce3/7873804/6b35776c76d4/ytaa545f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ce3/7873804/525bdd7c0628/ytaa545f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ce3/7873804/b83de383d1a3/ytaa545f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ce3/7873804/3a85cd4e1428/ytaa545f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ce3/7873804/00a9b2768d6d/ytaa545f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ce3/7873804/45f79bf62537/ytaa545f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ce3/7873804/868f98f80142/ytaa545f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ce3/7873804/6b35776c76d4/ytaa545f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ce3/7873804/525bdd7c0628/ytaa545f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ce3/7873804/b83de383d1a3/ytaa545f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ce3/7873804/3a85cd4e1428/ytaa545f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ce3/7873804/00a9b2768d6d/ytaa545f5.jpg

相似文献

1
Case series of late lead dislodgement of Medtronic SelectSecure 3830 pacing leads in growing paediatric patients.美敦力SelectSecure 3830起搏导线在成长中的儿科患者中晚期导线脱位的病例系列
Eur Heart J Case Rep. 2021 Jan 12;5(2):ytaa545. doi: 10.1093/ehjcr/ytaa545. eCollection 2021 Feb.
2
Transvenous endocardial pacing with SelectSecure 3830 lead in pediatric patients: case series of two infants and a literature review.经静脉心内膜起搏使用 SelectSecure 3830 导联在儿科患者中的应用：两例婴儿的病例系列和文献复习。
BMC Cardiovasc Disord. 2024 Mar 5;24(1):145. doi: 10.1186/s12872-024-03820-3.
3
Comparison of the Medtronic SelectSecure and conventional pacing leads: Long-term follow-up in a multicenter pediatric and congenital cohort.
Pacing Clin Electrophysiol. 2019 Mar;42(3):356-365. doi: 10.1111/pace.13614. Epub 2019 Feb 8.
4
Extraction of SelectSecure leads compared to conventional pacing leads in patients with congenital heart disease and congenital atrioventricular block.先天性心脏病合并先天性房室传导阻滞患者中，SelectSecure导线与传统起搏导线的拔除情况比较
Heart Rhythm. 2015 Jun;12(6):1227-32. doi: 10.1016/j.hrthm.2015.03.004. Epub 2015 Mar 5.
5
Initial experience of pacing with a lumenless lead system in patients with congenital heart disease.先天性心脏病患者使用无腔导线系统起搏的初步经验。
Pacing Clin Electrophysiol. 2009 Nov;32(11):1428-33. doi: 10.1111/j.1540-8159.2009.02487.x. Epub 2009 Sep 21.
6
Noncatheter-based delivery of a single-chamber lumenless pacing lead in small children.
Pacing Clin Electrophysiol. 2007 Jul;30(7):834-8. doi: 10.1111/j.1540-8159.2007.00769.x.
7
Ten-Year Clinical Experience with the Lumenless, Catheter-Delivered, 4.1-Fr Diameter Pacing Lead in Patients with and without Congenital Heart.无腔、经导管输送的4.1法国直径起搏导线在有和无先天性心脏病患者中的十年临床经验。
Pacing Clin Electrophysiol. 2017 Jan;40(1):17-25. doi: 10.1111/pace.12995. Epub 2017 Jan 17.
8
Transatrial lead implantation using the 4-Fr lumenless pacing lead and delivery system in young adults with congenital heart disease.
Pacing Clin Electrophysiol. 2009 Dec;32(12):e40-2. doi: 10.1111/j.1540-8159.2009.02539.x. Epub 2009 Sep 10.
9
[Pediatric cardiac pacing: indications, implant techniques, pacing mode].[小儿心脏起搏：适应证、植入技术、起搏模式]
Ann Cardiol Angeiol (Paris). 2005 Jan;54(1):2-6. doi: 10.1016/j.ancard.2004.11.006.
10
Evaluation of different lead types and implantation techniques in pediatric populations with permanent pacemakers: Single-center with 10 years' experience.评价不同类型的电极导线并分析其在儿童永久性心脏起搏器植入术中的应用：单中心十年经验
Pacing Clin Electrophysiol. 2021 Jan;44(1):110-119. doi: 10.1111/pace.14126. Epub 2020 Dec 1.

引用本文的文献

1
Transvenous endocardial pacing with SelectSecure 3830 lead in pediatric patients: case series of two infants and a literature review.经静脉心内膜起搏使用 SelectSecure 3830 导联在儿科患者中的应用：两例婴儿的病例系列和文献复习。
BMC Cardiovasc Disord. 2024 Mar 5;24(1):145. doi: 10.1186/s12872-024-03820-3.

本文引用的文献

1
Coronary artery compression from epicardial leads: More common than we think.心外膜导联致冠状动脉受压：比我们想象的更常见。
Heart Rhythm. 2018 Oct;15(10):1439-1447. doi: 10.1016/j.hrthm.2018.06.038. Epub 2018 Aug 13.
2
Transvenous pacing in pediatric patients with bipolar lumenless lead: Ten-year clinical experience.经静脉起搏在双极无腔心内导线儿科患者中的应用：十年临床经验。
Int J Cardiol. 2018 Mar 15;255:45-49. doi: 10.1016/j.ijcard.2018.01.007. Epub 2018 Jan 4.
3
Twenty-Seven Years Experience With Transvenous Pacemaker Implantation in Children Weighing <10 kg.
对体重小于10公斤儿童进行经静脉起搏器植入的27年经验
Circ Arrhythm Electrophysiol. 2016 Feb;9(2):e003422. doi: 10.1161/CIRCEP.115.003422.
4
Pacemaker lead induced inferior vena caval thrombosis leading to portal hypertension.起搏器导线导致下腔静脉血栓形成，进而引发门静脉高压。
Indian Pacing Electrophysiol J. 2013 Mar;13(2):84-7. doi: 10.1016/s0972-6292(16)30609-x. Epub 2013 Mar 7.
5
Permanent epicardial pacing in children: long-term results and factors modifying outcome.儿童永久性心脏外膜起搏：长期结果和影响预后的因素。
Europace. 2012 Apr;14(4):509-14. doi: 10.1093/europace/eur327. Epub 2011 Oct 11.
6
Selective site pacing in paediatric patients: how to recreate a new loop in the right atrium to follow body growth.选择性位点起搏在儿科患者中的应用：如何在右心房内重新构建一个新环以适应身体生长。
Europace. 2011 Jul;13(7):1055-7. doi: 10.1093/europace/eur008. Epub 2011 Jan 28.
7
Performance of the lumenless 4.1-Fr diameter pacing lead implanted at alternative pacing sites in congenital heart: a chronic 5-year comparison.
Pacing Clin Electrophysiol. 2010 Dec;33(12):1467-74. doi: 10.1111/j.1540-8159.2010.02884.x. Epub 2010 Aug 17.
8
Initial experience of pacing with a lumenless lead system in patients with congenital heart disease.先天性心脏病患者使用无腔导线系统起搏的初步经验。
Pacing Clin Electrophysiol. 2009 Nov;32(11):1428-33. doi: 10.1111/j.1540-8159.2009.02487.x. Epub 2009 Sep 21.
9
Noncatheter-based delivery of a single-chamber lumenless pacing lead in small children.
Pacing Clin Electrophysiol. 2007 Jul;30(7):834-8. doi: 10.1111/j.1540-8159.2007.00769.x.
10
Multi-center clinical experience with a lumenless, catheter-delivered, bipolar, permanent pacemaker lead: implant safety and electrical performance.无腔、经导管输送、双极、永久性起搏器导线的多中心临床经验：植入安全性和电气性能。
Pacing Clin Electrophysiol. 2006 Aug;29(8):858-65. doi: 10.1111/j.1540-8159.2006.00452.x.