经左锁骨下动脉从左心室取出无意植入的起搏器导线。
Lead extraction of an unintentional pacemaker lead implantation in the left ventricle from the left subclavian artery.
机构信息
Institut universitaire de cardiologie et de pneumologie de Québec, Electrophysiology Division, Québec, Canada.
Institut universitaire de cardiologie et de pneumologie de Québec, Cardiac Surgery Division, Québec, Canada.
出版信息
Pacing Clin Electrophysiol. 2022 Feb;45(2):281-284. doi: 10.1111/pace.14389. Epub 2021 Nov 17.
INTRODUCTION
Inadvertent implantation from the subclavian/axillary arteries is uncommon and has been rarely reported. Complications are frequent, mainly driven by thromboembolic events. Lead extraction, depending on the dwell time may be challenging and associated with thromboembolic events Case Report: We report the case of an 87-year-old man who had involuntarily pacemaker lead implanted into the left ventricle through the left subclavian artery. An extraction procedure was performed with surgical dissection to the artery and simple traction of the probe without complication.
CONCLUSION
Percutaneous lead extraction using surgical dissection is a therapeutic option for less than one year old left ventricle inadvertent lead implantation.
简介
无意中从锁骨下/腋动脉植入是不常见的，且很少有报道。并发症很常见，主要由血栓栓塞事件引起。根据留置时间，导线取出可能具有挑战性，并且与血栓栓塞事件相关。病例报告：我们报告了一例 87 岁男性患者，其无意中通过左锁骨下动脉将起搏器导线植入左心室。通过对动脉进行手术解剖和简单地牵拉探头，成功进行了导线取出术，无并发症发生。结论：对于植入时间不到 1 年的左心室意外导线，使用手术解剖的经皮导线取出术是一种治疗选择。
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