Singer I, Calzada N, Austin E H
Division of Cardiology, University of Louisville, Kentucky 40292, USA.
Pacing Clin Electrophysiol. 1998 Dec;21(12):2616-20. doi: 10.1111/j.1540-8159.1998.tb00038.x.
Thoracotomy patch leads used for implantable cardioverter defibrillators (ICDs) are generally safe and effective. We describe two patients in whom a late complication of patch lead migration occurred years after the original implants, causing a bronchopleural fistula in one and lingular lobe collapse in the other patient. We conclude that patch migration is a late but possible complication of extrapericardial ICD leads, and should be suspected in patients who present with hemoptysis, atypical pneumonia, or lung collapse after the initial ICD surgery.
用于植入式心脏复律除颤器（ICD）的开胸贴片导线通常是安全有效的。我们描述了两名患者，在最初植入数年之后发生了贴片导线迁移的晚期并发症，其中一名患者出现支气管胸膜瘘，另一名患者出现舌叶肺不张。我们得出结论，贴片迁移是心包外ICD导线的一种晚期但可能出现的并发症，对于在初次ICD手术后出现咯血、非典型肺炎或肺不张的患者应怀疑有此并发症。
