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脑栓塞的一个不寻常原因：卵圆孔未闭跨隔、自发断裂的起搏器导线。

An Unusual Cause of Cerebral Embolism: PFO-Straddling, Spontaneously Fractured Pacemaker Lead.

作者信息

Voukalis Christos, Ionescu Adrian, Barry James, Margulescu Andrei D

机构信息

Department of Cardiology, Morriston Regional Cardiac Centre, Swansea, United Kingdom.

出版信息

JACC Case Rep. 2022 Jul 20;4(14):854-856. doi: 10.1016/j.jaccas.2022.05.003.

DOI:10.1016/j.jaccas.2022.05.003
PMID:35912334
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9334140/
Abstract

We report an exceptionally rare complication of cardiac pacing: a case of spontaneous fracture of a modern bipolar pacing lead that led to migration across a patent foramen ovale into the left atrium and embolic stroke. ().

摘要

我们报告了一例极为罕见的心脏起搏并发症

一例现代双极起搏导线自发性骨折，导致其穿过卵圆孔未闭进入左心房并引发栓塞性中风。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3151/9334140/aba0e2b09c51/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3151/9334140/9fb1dfc8a24e/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3151/9334140/aba0e2b09c51/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3151/9334140/9fb1dfc8a24e/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3151/9334140/aba0e2b09c51/gr1.jpg

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本文引用的文献

1
Transvenous Lead Extractions: Current Approaches and Future Trends.经静脉导线拔除：当前方法与未来趋势。
Arrhythm Electrophysiol Rev. 2018 Aug;7(3):210-217. doi: 10.15420/aer.2018.33.2.
2
2018 EHRA expert consensus statement on lead extraction: recommendations on definitions, endpoints, research trial design, and data collection requirements for clinical scientific studies and registries: endorsed by APHRS/HRS/LAHRS.2018年欧洲心律协会（EHRA）关于导线拔除的专家共识声明：临床科学研究和注册登记的定义、终点、研究试验设计及数据收集要求的建议：得到亚太心脏节律学会（APHRS）/美国心律学会（HRS）/拉丁美洲心脏节律学会（LAHRS）认可。
Europace. 2018 Jul 1;20(7):1217. doi: 10.1093/europace/euy050.
3
Considerations for cardiac device lead extraction.
心脏装置导线拔除的注意事项。
Nat Rev Cardiol. 2016 Apr;13(4):221-9. doi: 10.1038/nrcardio.2015.207. Epub 2016 Jan 29.
4
Nomogram for predicting 30-day all-cause mortality after transvenous pacemaker and defibrillator lead extraction.经静脉起搏器和除颤器导线拔除术后30天全因死亡率预测列线图。
Heart Rhythm. 2015 Dec;12(12):2381-6. doi: 10.1016/j.hrthm.2015.07.024. Epub 2015 Jul 17.
5
Repeated fracture of pacemaker leads with migration into the pulmonary circulation and temporary pacemaker wire insertion via the azygous vein.起搏器导线反复断裂并迁移至肺循环，以及经奇静脉临时插入起搏器导线。
J Postgrad Med. 2008 Jan-Mar;54(1):28-31. doi: 10.4103/0022-3859.39187.
6
Cerebral embolism due to a retained pacemaker lead: a case report.
Pacing Clin Electrophysiol. 1998 Mar;21(3):629-30. doi: 10.1111/j.1540-8159.1998.tb00111.x.