Frutos Perez Jose Maria, Llopis Sanchis Marina, Moreno Torres Beatriz, Esteve Villar Del Saz Andrea, Ventura Esteve Ana, Martinez Pascual Maria Angeles, Perea Ribis Mariam, Camarena Molina Alba, Jorquer Vidal Leyre, Lobato Correia Gustavo, Querol Ribelles Jose Manuel
Department of Internal Medicine, Section of Internal Medicine, Hospital Francesc de Borja, Gandia, Valencia, Spain.
Department of Anatomic Pathology, Hospital Francesc de Borja, Gandia, Valencia, Spain.
Eur J Case Rep Intern Med. 2021 Mar 8;8(3):002247. doi: 10.12890/2021_002247. eCollection 2021.
Thrombosis associated with pacemaker leads is extremely rare, although the literature on this subject is scarce. A clinical case is reported, describing this condition and its clinical presentation, the complementary tests for establishing the diagnosis and the available therapeutic options.
Thrombosis associated with pacemaker leads is extremely rare.The different causes that contribute to thrombosis all have Virchow's triad (blood stasis, endothelial injury/dysfunction and hypercoagulability) in common.Transthoracic and/or transoesophageal Doppler echocardiography is the gold standard for establishing the diagnosis, while the treatment options are anticoagulation, thrombolysis and surgical or endovascular embolectomy.
尽管关于起搏器导线相关血栓形成的文献很少,但这种情况极其罕见。本文报告了一例临床病例,描述了这种疾病及其临床表现、用于确诊的辅助检查以及可用的治疗选择。
起搏器导线相关血栓形成极其罕见。导致血栓形成的不同原因都有共同的维氏三要素(血流淤滞、内皮损伤/功能障碍和高凝状态)。经胸和/或经食管多普勒超声心动图是确诊的金标准,而治疗选择包括抗凝、溶栓以及手术或血管内取栓术。