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解开死结:一例罕见的临时经静脉起搏器置入后形成危及生命的心内结的病例

Untying the Knot: A Rare Case of Formation of a Life-Threatening Intracardiac Knot Following the Placement of a Temporary Transvenous Pacemaker.

作者信息

Akhigbe Esiemoghie J, Suliman Mohamed, Sayyed Rameez

机构信息

Internal Medicine, Marshall University Joan C. Edwards School of Medicine, Huntington, USA.

Cardiology, Marshall University Joan C. Edwards School of Medicine, Huntington, USA.

出版信息

Cureus. 2022 Dec 31;14(12):e33188. doi: 10.7759/cureus.33188. eCollection 2022 Dec.

DOI:10.7759/cureus.33188
PMID:36726882
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9886405/
Abstract

The implantation of a temporary pacemaker lead is a very common procedure performed in most hospitals and is known to be relatively safe, but there can be serious complications in rare circumstances. Reported complications including arrhythmias, infection, thromboembolic phenomena, and perforation of the vessel or the heart are all extensively described. However, an unusual and life-threatening complication that is not frequently discussed is the formation of intracardiac knots. We present a case of a rare complication of a temporary pacemaker placement with the formation of a knot in the distal lead requiring expert technique for removal.

摘要

临时起搏器导线植入是大多数医院都非常常见的操作,且已知相对安全,但在极少数情况下可能会出现严重并发症。已报道的并发症包括心律失常、感染、血栓栓塞现象以及血管或心脏穿孔等,均有详细描述。然而,一种不常被讨论的异常且危及生命的并发症是心内打结。我们报告一例临时起搏器植入罕见并发症,其远端导线形成结,需要专业技术才能移除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa6f/9886405/424ce80a3bb9/cureus-0014-00000033188-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa6f/9886405/b78fa980f458/cureus-0014-00000033188-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa6f/9886405/424ce80a3bb9/cureus-0014-00000033188-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa6f/9886405/b78fa980f458/cureus-0014-00000033188-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa6f/9886405/424ce80a3bb9/cureus-0014-00000033188-i02.jpg

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1
Untying the Knot: A Rare Case of Formation of a Life-Threatening Intracardiac Knot Following the Placement of a Temporary Transvenous Pacemaker.解开死结:一例罕见的临时经静脉起搏器置入后形成危及生命的心内结的病例
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本文引用的文献

1
A Review of Temporary Permanent Pacemakers and a Comparison with Conventional Temporary Pacemakers.临时永久性起搏器综述及其与传统临时起搏器的比较。
J Innov Card Rhythm Manag. 2019 May 15;10(5):3652-3661. doi: 10.19102/icrm.2019.100506. eCollection 2019 May.
2
Inadvertent Removal of a Right Ventricular Pacemaker Lead by a Knotted Transvenous Pacing Wire.打结的经静脉起搏导线意外拔除右心室起搏器导线
Indian J Crit Care Med. 2019 Feb;23(2):102-103. doi: 10.5005/jp-journals-10071-23126.
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Transfemoral percutaneous removal of a knotted Swan-Ganz catheter.
经股动脉切开取出打结的 Swan-Ganz 导管。
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Intracardiac knotting of a transvenous pacemaker.经静脉起搏器的心内打结
Can Med Assoc J. 1969 Mar 22;100(12):581-2.