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Micra无导线起搏器植入术后心包炎的发生

Development of Pericarditis Following Implantation of Micra Leadless Pacemaker.

作者信息

Medepalli Anita M, Edwards Blake T, Eyituoyo Harry, Patel Pooja, Parish David C

机构信息

Internal Medicine, Mercer University School of Medicine, Macon, USA.

Internal Medicine, Atrium Health Navicent Medical Center, Macon, USA.

出版信息

Cureus. 2024 Sep 23;16(9):e70027. doi: 10.7759/cureus.70027. eCollection 2024 Sep.

DOI:10.7759/cureus.70027
PMID:39449952
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11501444/
Abstract

Pacemakers are frequently essential in managing conduction disorders. Recently, the advancement of leadless pacemakers (LPs) has emerged, offering an alternative without the need for an upper shoulder incision or pacing leads. Despite the advantages, including reduced infection risk and improved durability, the novel nature of LPs means that some complications are still being identified. This report presents a unique case of pericarditis occurring after the implantation of a Micra leadless pacemaker (MLP) (Medtronic, Minneapolis, MN). It demonstrates the critical need for careful post-procedural monitoring to promptly detect and address potential complications associated with this emerging technology.

摘要

起搏器在管理传导障碍方面常常至关重要。最近,无导线起搏器(LPs)取得了进展,提供了一种无需肩部上方切口或起搏导线的替代方案。尽管具有包括降低感染风险和提高耐用性等优点,但无导线起搏器的新颖特性意味着仍在发现一些并发症。本报告介绍了一例在植入美敦力公司(明尼阿波利斯,明尼苏达州)的Micra无导线起搏器(MLP)后发生心包炎的独特病例。它表明了术后仔细监测以迅速检测和处理与这项新兴技术相关的潜在并发症的迫切需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e52/11501444/1ac806bf6ed4/cureus-0016-00000070027-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e52/11501444/376c0f78ba05/cureus-0016-00000070027-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e52/11501444/0f403f32da6d/cureus-0016-00000070027-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e52/11501444/716514763879/cureus-0016-00000070027-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e52/11501444/1ac806bf6ed4/cureus-0016-00000070027-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e52/11501444/376c0f78ba05/cureus-0016-00000070027-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e52/11501444/0f403f32da6d/cureus-0016-00000070027-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e52/11501444/716514763879/cureus-0016-00000070027-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e52/11501444/1ac806bf6ed4/cureus-0016-00000070027-i04.jpg

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本文引用的文献

1
A Rare Case of Persistent Bacteremia: Leadless Micra Pacemaker Endocarditis.持续性菌血症罕见病例:无导线Micra起搏器心内膜炎。
Case Rep Cardiol. 2023 Jan 18;2023:8326020. doi: 10.1155/2023/8326020. eCollection 2023.
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经导管起搏系统的长期性能:来自Micra经导管起搏研究的12个月结果。
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