Jaeger H J, Mathias K, Neise M, Krabb H J
Department of Diagnostic Radiology, Teaching Hospital Dortmund, Germany.
Pacing Clin Electrophysiol. 1994 Sep;17(9):1565-8. doi: 10.1111/j.1540-8159.1994.tb01524.x.
A 63-year-old male received a transvenous temporary pacemaker for bradyarrhythmia following mitral valve replacement and tricuspid valve annuloplasty. A transvenous permanent pacemaker was implanted the following day due to persistence of the bradyarrythmia and pacemaker dependency of the patient. Later the same day during removal of the temporary pacing electrode the permanent pacing lead was dislodged and had to be operatively repositioned. To avoid this complication, the position of pacemaker leads should be checked postoperatively with a frontal and lateral chest radiograph, and fluoroscopy should be used during removal of a temporary lead.
一名63岁男性在二尖瓣置换术和三尖瓣环成形术后因缓慢性心律失常接受了经静脉临时起搏器治疗。由于缓慢性心律失常持续存在且患者依赖起搏器，次日植入了经静脉永久起搏器。同一天晚些时候，在移除临时起搏电极时，永久起搏导线发生移位，不得不通过手术重新定位。为避免这种并发症，术后应通过胸部正位和侧位X线片检查起搏器导线的位置，并且在移除临时导线时应使用荧光透视检查。
