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左束支导线植入术后并发室间隔血肿：覆膜支架治疗

Interventricular Septal Hematoma Complicating Left Branch Bundle Lead Implantation: Treatment by Covered Stent.

作者信息

Del Castillo César, Van-Grieken Jorge, Coello Marco, Torres-Herrera Carlos, Clericus Barbara, Requena Daniel, Begazo Arnulfo, Appiani Franco, Kuzmicic Boris, Varleta Paola

机构信息

Cardiovascular Center, Hospital DIPRECA, Santiago, Chile.

Internal Medicine Fellowship, Postgraduate Department, Universidad Diego Portales, Santiago, Chile.

出版信息

JACC Case Rep. 2023 Oct 28;28:102087. doi: 10.1016/j.jaccas.2023.102087. eCollection 2023 Dec 20.

DOI:10.1016/j.jaccas.2023.102087
PMID:38204533
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10774742/
Abstract

We present a female patient with heart failure with reduced ejection fraction who underwent left bundle branch cardiac resynchronization therapy. Left bundle branch lead implantation was complicated with septal branch perforation causing an iatrogenic coronary fistula complicated by septal hematoma formation and development of shock. Occlusion by covered stents was successfully achieved.

摘要

我们报告一名射血分数降低的心力衰竭女性患者，其接受了左束支心脏再同步治疗。左束支导线植入术并发间隔支穿孔，导致医源性冠状动脉瘘，并伴有间隔血肿形成和休克发展。采用覆膜支架成功实现了封堵。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4813/10774742/54756d69e7c7/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4813/10774742/a6967ce1107e/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4813/10774742/e7ea34d5d711/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4813/10774742/b944aab735d1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4813/10774742/54f1582d9daf/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4813/10774742/54756d69e7c7/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4813/10774742/a6967ce1107e/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4813/10774742/e7ea34d5d711/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4813/10774742/b944aab735d1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4813/10774742/54f1582d9daf/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4813/10774742/54756d69e7c7/gr4.jpg

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Interventricular Septal Hematoma Complicating Left Branch Bundle Lead Implantation: Treatment by Covered Stent.左束支导线植入术后并发室间隔血肿：覆膜支架治疗
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引用本文的文献

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Need for temporary mechanical circulatory support for dry tamponade caused by interventricular septal hematoma: A case report of a rare complication following left bundle branch area pacing.室间隔血肿致心脏压塞需临时机械循环支持：左束支区域起搏后罕见并发症的病例报告
HeartRhythm Case Rep. 2025 Jan 30;11(4):371-375. doi: 10.1016/j.hrcr.2025.01.014. eCollection 2025 Apr.

本文引用的文献

1
Giant Interventricular Septal Hematoma Complicating Left Bundle Branch Pacing: A Cautionary Tale.巨大室间隔血肿并发左束支起搏：一则警示故事
JACC Case Rep. 2023 May 17;16:101887. doi: 10.1016/j.jaccas.2023.101887. eCollection 2023 Jun 21.
2
Coronary artery complications after left bundle branch area pacing: An increasingly reported issue in the era of physiologic pacing.左束支区域起搏后的冠状动脉并发症：生理性起搏时代一个报道日益增多的问题。
Pacing Clin Electrophysiol. 2024 Jan;47(1):101-105. doi: 10.1111/pace.14710. Epub 2023 May 9.
3
Interventricular Septal Hematoma With Pericardial Effusion After Left Bundle Branch Pacing Implantation.
左束支起搏植入术后室间隔血肿合并心包积液
JACC Clin Electrophysiol. 2023 Jan;9(1):142-144. doi: 10.1016/j.jacep.2022.09.009. Epub 2022 Oct 26.
4
Interventricular Septal Hematoma Caused by Percutaneous Intramyocardial Septal Radiofrequency Ablation Successfully Treated With Coil Embolization.经皮心肌间隔射频消融术致室间隔血肿成功通过弹簧圈栓塞治疗
JACC Cardiovasc Interv. 2023 Mar 27;16(6):722-724. doi: 10.1016/j.jcin.2022.10.038. Epub 2023 Jan 4.
5
Coronary perforation incidence, outcomes and temporal trends (COPIT): a systematic review and meta-analysis.冠状动脉穿孔发生率、结局和时间趋势（COPIT）：系统评价和荟萃分析。
Open Heart. 2022 Oct;9(2). doi: 10.1136/openhrt-2022-002076.
6
Myocardial contrast echocardiographic diagnosis and follow-up of interventricular septal hematoma after retrograde intervention for a chronic total occlusion of a right coronary artery: a case report.右冠状动脉慢性完全闭塞逆行介入术后室间隔血肿的心肌对比超声心动图诊断及随访：病例报告
Cardiovasc Diagn Ther. 2022 Apr;12(2):253-261. doi: 10.21037/cdt-21-707.
7
Case Report: Interventricular Septal Hematoma Complicating Left Bundle Branch Pacing Lead Implantation.病例报告：左束支起搏导线植入术后并发室间隔血肿
Front Cardiovasc Med. 2021 Sep 28;8:744079. doi: 10.3389/fcvm.2021.744079. eCollection 2021.
8
Stent-graft exclusion of multiple symptomatic coronary artery fistulae.覆膜支架封堵多条有症状的冠状动脉瘘
Tex Heart Inst J. 2007;34(2):199-202.
9
[Closure of an iatrogenic coronary artery fistula with a PTFE-coated stent].[使用聚四氟乙烯涂层支架闭合医源性冠状动脉瘘]
Rev Esp Cardiol. 2004 Jul;57(7):699-701.