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首页> 外文期刊>PACE: Pacing and clinical electrophysiology >Migration and infection of a pace-sense lead from an abdominal defibrillator system.
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Migration and infection of a pace-sense lead from an abdominal defibrillator system.

机译:腹部除纤颤器系统产生的步伐敏感导线的迁移和感染。

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摘要

A 47-year-old man had an ICD system with epicardial and endocardial components and an abdominal generator placed in 1990 following a cardiac arrest. Ten years later his BT10 lead was amputated due to an insulation defect, and he received a new pectoral generator with transvenous leads. A few months later he developed fevers, chills, and bacteremia. Evaluation demonstrated migration of the entire BT10 lead into the right atrium. Complete surgical explantation was required and the bacteremia resolved. This case illustrates the importance of solid anchoring of distal lead components following generator removal and the potential complication of intravascular lead migration.
机译:一名47岁的男子在有心脏骤停后于1990年安装了具有心外膜和心内膜组件的ICD系统,并安装了腹部发生器。十年后,由于绝缘缺陷,他的BT10导线被截肢,他收到了带有静脉导线的新型胸肌发生器。几个月后,他发烧,发冷和菌血症。评估表明,整个BT10导线都移入了右心房。需要进行完全的手术移植,并消除菌血症。这种情况说明了在去除发生器后牢固锚固远端引线组件的重要性以及血管内引线迁移的潜在并发症。

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