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起搏器植入术单侧锁骨下静脉置管后双侧气胸：一例报告

Bilateral Pneumothorax After Unilateral Subclavian Vein Cannulation for Pacemaker Implantation: A Case Report.

作者信息

Kuninobu Takuya, Kawamata Hirofumi, Honda Sakiko, Kawasaki Tatsuya

机构信息

Department of Cardiology, Matsushita Memorial Hospital, Moriguchi, JPN.

出版信息

Cureus. 2024 Sep 3;16(9):e68573. doi: 10.7759/cureus.68573. eCollection 2024 Sep.

DOI:10.7759/cureus.68573
PMID:39371783
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11452319/
Abstract

Ipsilateral pneumothorax is a common complication of pacemaker implantation due to transvenous lead placement. We report a case of bilateral pneumothorax after unilateral subclavian vein cannulation for pacemaker implantation. An 85-year-old woman underwent dual-chamber pacemaker implantation for symptomatic atrioventricular block. The transvenous leads were inserted through the left subclavian vein under fluoroscopy and contrast venography, and bilateral pneumothorax was noted the day after implantation, although echocardiography and computed tomography showed no pericardial effusion or lead extrusion. A chest tube was placed in the left chest cavity, which was removed one week later without complications.

摘要

同侧气胸是经静脉置入起搏器导线导致的起搏器植入常见并发症。我们报告一例因单侧锁骨下静脉置管进行起搏器植入后发生双侧气胸的病例。一名85岁女性因症状性房室传导阻滞接受双腔起搏器植入。经静脉导线在透视和静脉造影下经左锁骨下静脉插入，植入术后第二天发现双侧气胸，尽管超声心动图和计算机断层扫描显示无心包积液或导线移位。在左胸腔置入胸腔引流管，一周后拔除，无并发症发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26b1/11452319/1827c19737b6/cureus-0016-00000068573-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26b1/11452319/f695c0c820d2/cureus-0016-00000068573-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26b1/11452319/f34c1646f0bd/cureus-0016-00000068573-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26b1/11452319/1827c19737b6/cureus-0016-00000068573-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26b1/11452319/f695c0c820d2/cureus-0016-00000068573-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26b1/11452319/f34c1646f0bd/cureus-0016-00000068573-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26b1/11452319/1827c19737b6/cureus-0016-00000068573-i03.jpg

相似文献

1
Bilateral Pneumothorax After Unilateral Subclavian Vein Cannulation for Pacemaker Implantation: A Case Report.起搏器植入术单侧锁骨下静脉置管后双侧气胸：一例报告
Cureus. 2024 Sep 3;16(9):e68573. doi: 10.7759/cureus.68573. eCollection 2024 Sep.
2
Bilateral pneumothorax after pacemaker placement "Buffalo chest".起搏器植入后双侧气胸——“水牛胸”
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Early complications of permanent pacemaker implantation: no difference between dual and single chamber systems.永久性起搏器植入的早期并发症：双腔和单腔系统之间无差异。
Br Heart J. 1995 Jun;73(6):571-5. doi: 10.1136/hrt.73.6.571.
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[Subclavian vein puncture as a primary approach for pacemaker lead implantation].[锁骨下静脉穿刺作为起搏器导线植入的主要方法]
Herzschrittmacherther Elektrophysiol. 2001 Dec;12(4):204-7. doi: 10.1007/s003990170005.
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Pneumothorax resulting from subclavian puncture: a complication of permanent pacemaker lead implantation.锁骨下穿刺导致的气胸：永久性起搏器导线植入的一种并发症。
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Bilateral Pneumothorax Complicating Pacemaker Implantation, due to Puncture of the Left Subclavian Vein and Electrode Perforation of the Right Atrium.双侧气胸并发起搏器植入术，原因是左锁骨下静脉穿刺及右心房电极穿孔。
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Placement of pacemaker leads via the extrathoracic subclavian vein guided by fluoroscopy and venography in the oblique projection.在斜位透视下通过荧光透视和静脉造影引导，经胸外锁骨下静脉放置起搏器导线。
Heart Vessels. 2005 Feb;20(1):19-22. doi: 10.1007/s00380-004-0797-1.

本文引用的文献

1
Case report: A rare complication after the implantation of a cardiac implantable electronic device: Contralateral pneumothorax with pneumopericardium and pneumomediastinum.病例报告：心脏植入式电子设备植入术后的一种罕见并发症：对侧气胸伴心包积气和纵隔积气。
Front Cardiovasc Med. 2022 Aug 18;9:938735. doi: 10.3389/fcvm.2022.938735. eCollection 2022.
2
Bilateral Pneumothorax Complicating Pacemaker Implantation, due to Puncture of the Left Subclavian Vein and Electrode Perforation of the Right Atrium.双侧气胸并发起搏器植入术，原因是左锁骨下静脉穿刺及右心房电极穿孔。
Cureus. 2020 Nov 2;12(11):e11302. doi: 10.7759/cureus.11302.
3
Bilateral pneumothorax after pacemaker placement "Buffalo chest".
起搏器植入后双侧气胸——“水牛胸”
Respir Med Case Rep. 2019 Jan 29;26:227-228. doi: 10.1016/j.rmcr.2019.01.022. eCollection 2019.
4
Cardiac Pacemakers: Function, Troubleshooting, and Management: Part 1 of a 2-Part Series.心脏起搏器：功能、故障排除和管理：两部分系列的第 1 部分。
J Am Coll Cardiol. 2017 Jan 17;69(2):189-210. doi: 10.1016/j.jacc.2016.10.061.
5
Incidence and predictors of pericardial effusion after permanent heart rhythm device implantation: prospective evaluation of 968 consecutive patients.永久性心脏节律装置植入术后心包积液的发生率及预测因素：968 例连续患者的前瞻性评估。
Circ J. 2013;77(4):975-81. doi: 10.1253/circj.cj-12-0707. Epub 2012 Dec 27.
6
Ultrasound-guided venous access for pacemakers and defibrillators.超声引导下的起搏器和除颤器静脉通路建立。
J Cardiovasc Electrophysiol. 2013 Mar;24(3):370-4. doi: 10.1111/jce.12005. Epub 2012 Nov 6.
7
Implantation-related complications of implantable cardioverter-defibrillators and cardiac resynchronization therapy devices: a systematic review of randomized clinical trials.植入式心脏转复除颤器和心脏再同步治疗装置的植入相关并发症：随机临床试验的系统评价。
J Am Coll Cardiol. 2011 Aug 30;58(10):995-1000. doi: 10.1016/j.jacc.2011.06.007.
8
Case of the month: Buffalo chest: a case of bilateral pneumothoraces due to pleuropleural communication.本月病例：水牛胸：一例因胸膜间交通导致的双侧气胸。
Emerg Med J. 2006 Jun;23(6):483-6. doi: 10.1136/emj.2005.030981.
9
Prospective study of axillary vein puncture with or without contrast venography for pacemaker and defibrillator lead implantation.有或无静脉造影剂的腋静脉穿刺用于起搏器和除颤器导线植入的前瞻性研究。
Pacing Clin Electrophysiol. 2005 Jan;28 Suppl 1:S280-3. doi: 10.1111/j.1540-8159.2005.00039.x.
10
Pneumopericardium and pneumothorax contralateral to venous access site after permanent pacemaker implantation.永久性起搏器植入术后静脉穿刺部位对侧出现心包积气和气胸
Europace. 2003 Oct;5(4):361-3. doi: 10.1016/s1099-5129(03)00093-x.