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左半胸的心室起搏器导线：一种迟发性危险并发症的机制及循证管理

Ventricular pacemaker lead in the left hemithorax: Mechanisms and evidence-based management of a late-onset hazardous complication.

作者信息

Marazzato Jacopo, Caravati Fabrizio, Blasi Federico B M, Refugjati Taulant, Vilotta Manola, Torchio Federica, Musazzi Andrea M, Beghi Cesare, De Ponti Roberto

机构信息

Department of Heart and Vessels Ospedale di Circolo University of Insubria Varese Italy.

出版信息

Clin Case Rep. 2021 Aug 10;9(8):e04617. doi: 10.1002/ccr3.4617. eCollection 2021 Aug.

DOI:10.1002/ccr3.4617
PMID:34401170
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8353417/
Abstract

Late-onset migration of pacing leads in the left hemithorax is a rare but potentially life-threatening complication. Radiological examinations are required to detect any involvement of either left ventricle or lung parenchyma, prompting immediate surgical extraction in this setting. Identification of high-risk patients is mandatory to prevent this complex iatrogenic complication.

摘要

左半胸起搏导线迟发性移位是一种罕见但可能危及生命的并发症。需要进行放射学检查以检测左心室或肺实质是否受累，在这种情况下需立即进行手术取出。识别高危患者对于预防这种复杂的医源性并发症至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e97/8353417/5531ea14d63c/CCR3-9-e04617-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e97/8353417/07789ec54c2a/CCR3-9-e04617-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e97/8353417/151a995b5dde/CCR3-9-e04617-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e97/8353417/0265c03b4868/CCR3-9-e04617-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e97/8353417/5531ea14d63c/CCR3-9-e04617-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e97/8353417/07789ec54c2a/CCR3-9-e04617-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e97/8353417/151a995b5dde/CCR3-9-e04617-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e97/8353417/0265c03b4868/CCR3-9-e04617-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e97/8353417/5531ea14d63c/CCR3-9-e04617-g002.jpg

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引用本文的文献

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2
Conduction System Pacing for Post Transcatheter Aortic Valve Replacement Patients: Comparison With Right Ventricular Pacing.经导管主动脉瓣置换术后患者的传导系统起搏：与右心室起搏的比较。
Front Cardiovasc Med. 2021 Nov 30;8:772548. doi: 10.3389/fcvm.2021.772548. eCollection 2021.

本文引用的文献

1
Left ventricular free wall perforation by a right ventricular pacemaker lead: a case report.右心室起搏器导线致左心室游离壁穿孔：一例报告
Eur Heart J Case Rep. 2021 Mar 31;5(3):ytab125. doi: 10.1093/ehjcr/ytab125. eCollection 2021 Mar.
2
Right ventricular lead perforation through the septum, left ventricle, and pleura, managed by an open surgical approach.右心室导线经间隔、左心室和胸膜穿孔，采用开放手术方法处理。
HeartRhythm Case Rep. 2018 May 23;4(9):397-400. doi: 10.1016/j.hrcr.2018.05.004. eCollection 2018 Sep.
3
Incidence and predictors of clinically relevant cardiac perforation associated with systematic implantation of active-fixation pacing and defibrillation leads: a single-centre experience with over 3800 implanted leads.
主动固定起搏和除颤导线系统植入相关临床显著心脏穿孔的发生率及预测因素：一项超过3800根植入导线的单中心经验
Europace. 2017 Jan;19(1):96-102. doi: 10.1093/europace/euv410. Epub 2016 Feb 3.
4
Incidence, management, and prevention of right ventricular perforation by pacemaker and implantable cardioverter defibrillator leads.起搏器和植入式心脏复律除颤器导线导致右心室穿孔的发生率、处理及预防
Pacing Clin Electrophysiol. 2014 Dec;37(12):1602-9. doi: 10.1111/pace.12472. Epub 2014 Jul 29.
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Left hemothorax: an unusual complication of delayed right ventricular perforation by a permanent pacemaker lead.
J Card Surg. 2013 May;28(3):325-7. doi: 10.1111/jocs.12080. Epub 2013 Mar 11.
6
Acute left hemothorax as a late complication of an active-fixation pacemaker lead.活性固定起搏导线迟发并发症致急性左侧血胸。
Ann Thorac Surg. 2013 Mar;95(3):1081-4. doi: 10.1016/j.athoracsur.2012.07.064.
7
Late left ventricular perforation by active fixation pacemaker lead implanted in the right ventricular septum.植入右心室间隔的主动固定起搏器导线导致晚期左心室穿孔。
J Card Surg. 2012 Jul;27(4):530-1. doi: 10.1111/j.1540-8191.2012.01479.x. Epub 2012 May 22.
8
Asymptomatic right ventricular perforation by an implantable cardioverter defibrillator lead detected by home monitoring system.通过家庭监测系统检测到植入式心脏复律除颤器导线导致的无症状性右心室穿孔。
J Electrocardiol. 2010 Nov-Dec;43(6):673-5. doi: 10.1016/j.jelectrocard.2010.07.022.
9
Left hemothorax: a presentation of a late ventricular perforation caused by an active fixation pacing lead.左侧血胸：活性固定起搏导线致迟发性心室穿孔的表现。
Int J Cardiol. 2010 Jun 11;141(3):e43-6. doi: 10.1016/j.ijcard.2008.11.152. Epub 2009 Jan 20.
10
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Pacing Clin Electrophysiol. 2006 Apr;29(4):429-30. doi: 10.1111/j.1540-8159.2006.00366.x.