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Sudden Death Due to Thrombosis Associated with Implantable Cardioverter-Defibrillator Electrodes.与植入式心脏复律除颤器电极相关的血栓形成导致的猝死
Eur J Case Rep Intern Med. 2021 Mar 8;8(3):002247. doi: 10.12890/2021_002247. eCollection 2021.
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Idiopathic Internal Jugular Vein and Subclavian Vein Thrombosis: A Rare Case Report.特发性颈内静脉和锁骨下静脉血栓形成：一例罕见病例报告
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Ann Cardiol Angeiol (Paris). 2015 Feb;64(1):27-31. doi: 10.1016/j.ancard.2014.08.018. Epub 2014 Sep 18.
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Implantable cardioverter-defibrillator: present and future indications.植入式心脏复律除颤器：当前及未来的适应症
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Intracardiac thrombus: diagnosis, complications and management.心内血栓：诊断、并发症及处理。
Am J Med Sci. 2013 May;345(5):391-5. doi: 10.1097/MAJ.0b013e318272b0b0.
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Intracardiac sterile pacemaker lead thrombosis.
Rev Esp Cardiol (Engl Ed). 2012 Feb;65(2):193-4. doi: 10.1016/j.recesp.2011.04.013. Epub 2011 Jul 23.
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Autopsy and clinical context in deceased patients with implanted pacemakers and defibrillators: intracardiac findings near their leads and electrodes.已植入起搏器和除颤器的死亡患者的尸检和临床背景：靠近其导线和电极的心内发现。
Europace. 2009 Nov;11(11):1510-6. doi: 10.1093/europace/eup216. Epub 2009 Aug 14.
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[Limitations of transesophageal ultrasound in the assessment of intracardiac masses: a case report].[经食管超声心动图在评估心内肿块中的局限性：一例报告]
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6
Incidence and risk factors of early venous thrombosis associated with permanent pacemaker leads.与永久性起搏器导线相关的早期静脉血栓形成的发生率及危险因素
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与植入式心脏复律除颤器电极相关的血栓形成导致的猝死

Sudden Death Due to Thrombosis Associated with Implantable Cardioverter-Defibrillator Electrodes.

作者信息

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

机构信息

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.

出版信息

Eur J Case Rep Intern Med. 2021 Mar 8;8(3):002247. doi: 10.12890/2021_002247. eCollection 2021.

DOI:10.12890/2021_002247
PMID:33987111
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8112097/
Abstract

UNLABELLED

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.

LEARNING POINTS

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.

摘要

未标注

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。

学习要点

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。