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[使用导线取出套件成功取出漂移至右心房的感染性起搏器电极]

[Successful removal of an infected pacemaker electrode, drifted into the right atrium, by using a lead removal kit].

作者信息

Nakata T, Sato N, Ohsuka Y, Takahashi H, Koutani T, Kawachi K

机构信息

Second Department of Surgery and Faculty of Health Science, Ehime University School of Medicine, Japan.

出版信息

Nihon Kyobu Geka Gakkai Zasshi. 1996 Oct;44(10):1925-8.

PMID:8940852
Abstract

A 65-year-old male was suffered complications from an infected pacemaker in the left subclavian region. The generator was removed and its electrode was cut at the vascular entry. A new system was implanted on the other side. Two months later, he suffered from persistent fever which required administration of antibiotics for 2 months. 7 months later, the cut end of the infected electrode was found to have drifted into the right atrium. Its removal was performed to prevent a potential exacerbation of the systemic infection. We were able to pick up an end of the electrode using a basket catheter which was inserted through the right internal jugular vein to extract it. The lead was then successfully removed using a lead removal kit.

摘要

一名65岁男性因左锁骨下区域的感染性起搏器出现并发症。移除了发生器,并在血管入口处切断了其电极。在另一侧植入了一个新系统。两个月后,他持续发烧,需要使用抗生素治疗两个月。7个月后,发现感染电极的切断端漂移到了右心房。为防止全身感染潜在加重,进行了移除操作。我们通过经右颈内静脉插入的网篮导管捡起电极的一端以将其取出。然后使用取导线套件成功移除了导线。

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