远程监测揭示不明原因晕厥患者长程感知型可植入式环路记录仪移位情况
Migration of long-sensing vector implantable loop recorder unmasked by remote monitoring in patient with unexplained syncope.
作者信息
Russo Vincenzo, Sica Giacomo, Mauriello Alfredo, Casazza Dino, Rago Anna
机构信息
Cardiology and Syncope Unit, Department of Medical Translational Sciences University of Campania "Luigi Vanvitelli", Naples, Italy.
Department of Radiology, Monaldi Hospital, Naples, Italy.
出版信息
J Cardiol Cases. 2024 May 3;30(2):51-54. doi: 10.1016/j.jccase.2024.04.003. eCollection 2024 Aug.
UNLABELLED
A 75-year-old man with hypertrophic obstructive cardiomyopathy underwent placement of a long-sensing vector implantable loop recorder (ILR) for unexplained syncope. One month later, ILR remote monitoring revealed unstable R-wave amplitudes ranging from very high (>1.9 mV) to very low (<0.2 mV) values. During an in-hospital clinic visit, the only site to establish communication with the ILR was the left posterior axillary area. Chest computed tomography confirmed ILR migration into the anterior costophrenic recess. The device was retrieved with forceps during video thoracoscopy without further complications.
LEARNING OBJECTIVE
This is the first case report of migration of an implantable loop recorder diagnosed by remote monitoring.
未标注
一名75岁肥厚型梗阻性心肌病男性因不明原因晕厥接受了长感知电极植入式循环记录仪（ILR）植入。1个月后，ILR远程监测显示R波振幅不稳定，范围从非常高（>1.9 mV）到非常低（<0.2 mV）。在一次住院门诊就诊期间，与ILR建立通信的唯一部位是左后腋窝区域。胸部计算机断层扫描证实ILR迁移至前胸肋膈隐窝。在电视胸腔镜检查期间用镊子取出该装置，未出现进一步并发症。
学习目标
这是首例通过远程监测诊断出植入式循环记录仪迁移的病例报告。
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