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电灼引起的起搏器夺获失败：一种罕见的起搏器脉冲发生器更换并发症。

Pacemaker Failure to Capture Caused by Electrocautery: A Rare Pacemaker Pulse Generator Change Complication.

作者信息

Qureshi Aman, Ahmed Intisar, Khan Aamir H

机构信息

Research, Aga Khan University, Karachi, PAK.

Cardiology, Department of Medicine, Aga Khan University, Karachi, PAK.

出版信息

Cureus. 2022 Aug 22;14(8):e28252. doi: 10.7759/cureus.28252. eCollection 2022 Aug.

DOI:10.7759/cureus.28252
PMID:36158404
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9498933/
Abstract

In the advent of increasing benefits of cardiac devices, more and more implants are being done. Pacing devices reaching the end of service need to be changed. The use of electrocautery (EC) to maintain hemostasis during cardiac device implantation is efficient and safe. Device makers have variable recommendations for the use of EC. Generally, considered safe, EC has been rarely known to cause device failure. We describe a case of a dual-chamber device, pulse generator change, where EC caused a sudden, unexpected loss of pacing function that lasted for 30 seconds. This case report highlights the gaps in the process of undertaking these high-risk changes.

摘要

随着心脏设备的益处不断增加，越来越多的植入手术正在进行。到达服务期限的起搏设备需要更换。在心脏设备植入过程中使用电灼术（EC）来维持止血是有效且安全的。设备制造商对EC的使用有不同的建议。一般来说，EC被认为是安全的，很少已知其会导致设备故障。我们描述了一例双腔设备更换脉冲发生器的病例，其中EC导致起搏功能突然意外丧失，持续了30秒。本病例报告突出了进行这些高风险更换过程中的差距。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e517/9498933/8e1fd3c42c4c/cureus-0014-00000028252-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e517/9498933/0cd7f7a9ccbd/cureus-0014-00000028252-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e517/9498933/7c9180da642e/cureus-0014-00000028252-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e517/9498933/8e1fd3c42c4c/cureus-0014-00000028252-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e517/9498933/0cd7f7a9ccbd/cureus-0014-00000028252-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e517/9498933/7c9180da642e/cureus-0014-00000028252-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e517/9498933/8e1fd3c42c4c/cureus-0014-00000028252-i03.jpg

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Pacemaker Failure to Capture Caused by Electrocautery: A Rare Pacemaker Pulse Generator Change Complication.电灼引起的起搏器夺获失败：一种罕见的起搏器脉冲发生器更换并发症。
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