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宽QRS波心动过速作为主动脉内球囊反搏导管迁移至左心室的罕见指征:一例报告及文献复习

Wide Complex Tachycardia as a Rare Pointer of Intra-aortic Balloon Pump Migration Into the Left Ventricle: A Case Report and Literature Review.

作者信息

Girgis Kyrillos, Aroke Desmond, Retcho Danielle, Gonzalez Garcia Grettel, Dekowski Sammir S, Beshai Rafail, Celenza-Salvatore Jessica, Ali Fazal

机构信息

Internal Medicine, Newark Beth Israel Medical Center, Newark, USA.

Cardiovascular Disease, Virtua Health, Camden, USA.

出版信息

Cureus. 2024 May 7;16(5):e59789. doi: 10.7759/cureus.59789. eCollection 2024 May.

DOI:10.7759/cureus.59789
PMID:38846226
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11154019/
Abstract

Intra-aortic balloon pumps (IABPs) are used to assist with left ventricular (LV) unloading in patients with cardiogenic shock (CS). There are different mechanical devices that can be used in CS, of which the IABP represents the simplest, the easiest to insert and remove, and the most cost-effective. Compared to traditional femoral IABPs, axillary IABPs allow patients to remain ambulatory. This is especially beneficial in patients awaiting heart transplants. Our case presents a patient with CS, where axillary IABP was used to unload the LV. However, our patient developed ventricular arrhythmia secondary to IABP migration to the LV.

摘要

主动脉内球囊反搏泵(IABP)用于协助心源性休克(CS)患者减轻左心室(LV)负荷。在CS患者中可使用不同的机械装置,其中IABP是最简单、最易于插入和移除且最具成本效益的。与传统的股动脉IABP相比,腋动脉IABP可让患者保持活动能力。这对等待心脏移植的患者尤其有益。我们的病例介绍了一名CS患者,使用腋动脉IABP来减轻左心室负荷。然而,我们的患者因IABP迁移至左心室而出现室性心律失常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d51/11154019/7d58adc715a7/cureus-0016-00000059789-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d51/11154019/a5c209fcde4c/cureus-0016-00000059789-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d51/11154019/ad534cf4ba19/cureus-0016-00000059789-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d51/11154019/401f6d5a6330/cureus-0016-00000059789-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d51/11154019/ea5f6d88898a/cureus-0016-00000059789-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d51/11154019/7d58adc715a7/cureus-0016-00000059789-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d51/11154019/a5c209fcde4c/cureus-0016-00000059789-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d51/11154019/ad534cf4ba19/cureus-0016-00000059789-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d51/11154019/401f6d5a6330/cureus-0016-00000059789-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d51/11154019/ea5f6d88898a/cureus-0016-00000059789-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d51/11154019/7d58adc715a7/cureus-0016-00000059789-i05.jpg

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本文引用的文献

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A Comprehensive Review of Mechanical Circulatory Support Devices.机械循环支持设备的全面综述
Heart Int. 2022 Mar 4;16(1):37-48. doi: 10.17925/HI.2022.16.1.37. eCollection 2022.
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Axillary Intra-Aortic Balloon Pump Migration Into the Left Ventricle During Peripheral Venoarterial Extracorporeal Membrane Oxygenation Support.外周静脉动脉体外膜肺氧合支持期间腋动脉主动脉内球囊泵移入左心室
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美国心脏病学会(ACC)、美国心脏协会(AHA)、重症医学会(SCCM)和胸外科医师学会(STS)于 2019 年 4 月共同发布了心血管造影协会(SCAI)关于心源性休克分类的临床专家共识声明。
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Initial clinical experience with intraaortic balloon pumping in cardiogenic shock.主动脉内球囊反搏治疗心源性休克的初步临床经验。
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