Ramírez Isunza J M, Argüelles Mier M A, Esparza González J J
Arch Inst Cardiol Mex. 1982 Mar-Apr;52(2):129-33.
We report two cases of late perforation of the right ventricle due to arrow head endocardial electrodes, used for pacemaker stimulation in patients with complete atrio-ventricular block. Comments on the treatment of this complication are made. In one case the electrode was removed and the myocardium sutured. In the second case the distal part of the electrode was left in the pericardial cavity. In both cases epicardial electrodes were placed to continue the stimulation changing the site of implantation of the power source.
我们报告两例因箭头形心内膜电极导致右心室迟发性穿孔的病例,这些电极用于完全房室传导阻滞患者的起搏器刺激。对该并发症的治疗进行了讨论。其中一例移除了电极并缝合了心肌。另一例则将电极远端留在心包腔内。两例均放置了心外膜电极以继续刺激,并改变了电源植入部位。