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病例报告：1例患者在拔除临时心脏起搏导线后发生急性脑梗死，该导线导致室间隔穿孔。

Case Report: A case suffered acute cerebral infarction after removal of temporary cardiac pacing lead which led to the perforation of interventricular septum.

作者信息

Zhang Lu, Chen Jiechu, Zhu Kailun, Liu Jianghai, Li Guiyang, Chang Dong, Li Qiang

机构信息

Department of Cardiology, Xiamen Cardiovascular Hospital, Xiamen University, Xiamen, China.

Julius-Maximilians-University Wuerzburg, Wuerzburg, Germany.

出版信息

Front Cardiovasc Med. 2024 Aug 8;11:1429480. doi: 10.3389/fcvm.2024.1429480. eCollection 2024.

DOI:10.3389/fcvm.2024.1429480
PMID:39175635
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11338797/
Abstract

We report an elderly male patient with frequent episodes of dizziness due to a complete atrioventricular block who underwent temporary pacemaker insertion in a local hospital. After the implantation of a permanent pacemaker and removal of the temporary pacemaker lead, the patient developed sudden neurological symptoms, upon which an acute cerebellar infarction was diagnosed via head CT. We will discuss the adequacy of the periprocedural administration.

摘要

我们报告了一名老年男性患者，因完全性房室传导阻滞频繁发作头晕，在当地医院接受了临时起搏器植入。在植入永久性起搏器并拔除临时起搏器导线后，患者出现突发神经症状，经头颅CT诊断为急性小脑梗死。我们将讨论围手术期给药的合理性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ae6/11338797/78d14311d868/fcvm-11-1429480-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ae6/11338797/6a31f4f76845/fcvm-11-1429480-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ae6/11338797/78d14311d868/fcvm-11-1429480-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ae6/11338797/6a31f4f76845/fcvm-11-1429480-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ae6/11338797/78d14311d868/fcvm-11-1429480-g002.jpg

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Case Report: A case suffered acute cerebral infarction after removal of temporary cardiac pacing lead which led to the perforation of interventricular septum.病例报告：1例患者在拔除临时心脏起搏导线后发生急性脑梗死，该导线导致室间隔穿孔。
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本文引用的文献

1
Effect of anticoagulation on the occurrence of deep venous thrombosis associated with temporary transvenous femoral pacemakers.抗凝对与临时经静脉股静脉起搏器相关的深静脉血栓形成发生率的影响。
Am J Cardiol. 2001 Oct 1;88(7):798-801. doi: 10.1016/s0002-9149(01)01857-4.
2
Pacemaker-induced superior vena cava syndrome: consideration of management.
Am Heart J. 1988 Sep;116(3):893-6. doi: 10.1016/0002-8703(88)90361-4.