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右心室起搏器电极穿孔进入左心房致脑栓塞

[Cerebral embolism caused by a right ventricular pacemaker electrode perforated into the left atrium].

作者信息

Bóhm A, Bányai F, Komáromy K, Pintér A, Préda I

机构信息

Haynal Imre Egészségtudományi Egyetem, Budapest Cardiovascularis Centrum.

出版信息

Orv Hetil. 1997 Sep 7;138(36):2235-7.

PMID:9333733
Abstract

The authors present a new, unusual side effect due to retained pacemaker lead. The free tip of the lead caused cerebral embolism by perforating the interatrial septum. Transoesophageal echocardiographic study showed the lead crossing the interatrial septum. The total abnormal course of the lead was demonstrated by lateral X-ray picture. Diagnostic and therapeutic approaches regarding retained leads in malposition are also discussed.

摘要

作者报告了一例因起搏器导线残留导致的罕见新副作用。导线的游离端穿透房间隔,引起脑栓塞。经食管超声心动图检查显示导线穿过房间隔。侧位X线片显示了导线的整个异常走行。文中还讨论了关于位置异常的残留导线的诊断和治疗方法。

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[Cerebral embolism caused by a right ventricular pacemaker electrode perforated into the left atrium].右心室起搏器电极穿孔进入左心房致脑栓塞
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[Perforation of the right atrium by a broken piece of electrode dislocated during pacemaker change].[起搏器更换过程中脱位电极碎片致右心房穿孔]
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