经静脉将植入式心律转复除颤器植入冠状静脉窦分支：三尖瓣重建后植入植入式心律转复除颤器的一种安全可行的替代方法。
Transvenous ICD Implantation into a Coronary Sinus Branch: A Safe and Feasible Alternative to Deliver ICD after Tricuspid Valve Reconstruction.
作者信息
Gruszczynski M, Müller-Burri A, Häussler A, Breitenstein A, Rodriguez Cetina Biefer H, Dzemali O
机构信息
Department for Cardiac Surgery, Zurich City Hospital Triemli, Zurich, Switzerland.
Department for Cardiology, Zurich City Hospital, Zurich, Switzerland.
出版信息
Case Rep Cardiol. 2023 Feb 8;2023:6646224. doi: 10.1155/2023/6646224. eCollection 2023.
Significant lead-induced tricuspid regurgitation after cardiovascular implantable electronic devices is not uncommon. Absolute or relative contraindications to place the lead in the right ventricle after tricuspid valve (TV) surgery still remains a challenge. We report about successful lead extraction followed by transvenous implantable cardioverter defibrillator lead placement in the side branches of coronary sinus after TV reconstruction. Furthermore, we discuss therapeutic options to deliver concomitant anti-bradycardia therapy, technical pitfalls, and surgical approaches.
心血管植入式电子设备后出现显著的铅诱导三尖瓣反流并不罕见。在三尖瓣（TV）手术后将导线放置在右心室的绝对或相对禁忌症仍然是一个挑战。我们报告了在TV重建后成功进行导线拔除，随后经静脉将植入式心脏复律除颤器导线放置在冠状静脉窦分支中的情况。此外，我们讨论了提供伴随抗心动过缓治疗的治疗选择、技术陷阱和手术方法。
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