8岁儿童经皮取出突出的心房起搏导线
Percutaneous extraction of a protruding atrial pacing lead in an 8-year-old child.
作者信息
Dalili Mohammad, Ariannia Ali, Rezanejad Elham
机构信息
Department of Pediatric Cardiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
Department of Surgery, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
出版信息
J Cardiol Cases. 2023 Apr 21;28(1):32-35. doi: 10.1016/j.jccase.2023.03.001. eCollection 2023 Jul.
UNLABELLED
An 8-year-old girl with a history of single-chamber epicardial pacemaker during infancy and cardiac resynchronization therapy with a His bundle pacing lead implantation six months earlier, presented with congenital complete heart block. At the follow-up visit, we found atrial pacing lead protrusion with probable insulation in the computed tomography scan. We have shown late pacemaker lead perforation management under fluoroscopic guidance in a pediatric patient.
LEARNING OBJECTIVE
A serious complication associated with cardiac implantable electronic devices is lead perforation. In the pediatric age group, limited data exist on this complication and its challenging management.We present a case of atrial pacing lead protrusion in an 8-year-old girl. The lead was extracted under fluoroscopic guidance without any complications.
未标注
一名8岁女孩，婴儿期有单腔心外膜起搏器植入史，6个月前植入希氏束起搏导线进行心脏再同步治疗，现患有先天性完全性心脏传导阻滞。在随访中，我们在计算机断层扫描中发现心房起搏导线突出且可能绝缘。我们展示了在透视引导下对一名儿科患者晚期起搏器导线穿孔的处理。
学习目标
与心脏植入式电子设备相关的一种严重并发症是导线穿孔。在儿科年龄组中，关于这种并发症及其具有挑战性的处理的数据有限。我们报告一例8岁女孩心房起搏导线突出的病例。该导线在透视引导下取出，无任何并发症。
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