Pasquariello J L, Hariman R J, Yudelman I M, Feit A, Gomes J A, El-Sherif N
Pacing Clin Electrophysiol. 1984 Sep;7(5):790-3. doi: 10.1111/j.1540-8159.1984.tb05618.x.
A 44-year-old man developed recurrent pulmonary embolization after implantation of a permanent transvenous DVI pacemaker connected to polyurethane leads. Thrombus was found in the left innominate and subclavian veins around the pacemaker leads, but not in the right atrium or in the venous system of the pelvis and the lower extremities. The recurrence of pulmonary embolization followed discontinuation of treatment with Coumadin. This case demonstrates that lifelong anticoagulation is indicated in patients who have had pulmonary embolization and/or venous thrombosis around the pacemaker leads.
一名44岁男性在植入与聚氨酯导线相连的永久性经静脉DVI起搏器后发生反复肺栓塞。在起搏器导线周围的左无名静脉和锁骨下静脉中发现血栓，但右心房以及骨盆和下肢的静脉系统中未发现血栓。停用华法林治疗后出现肺栓塞复发。该病例表明，对于发生过肺栓塞和/或起搏器导线周围静脉血栓形成的患者，需要终身抗凝治疗。
