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首页> 外文期刊>PACE: Pacing and clinical electrophysiology >Uncommon site of pacemaker lead fracture.
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Uncommon site of pacemaker lead fracture.

机译:起搏器铅断裂的部位罕见。

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摘要

A 76-year-old man presented with recurrent episodes of presyncope since 2 weeks. There was no preceding history of trauma or evidence of infective endocarditis. Patient had a dual-chamber pacemaker (DDDR, St. Jude Medical, Sylmar, CA, USA) that had been implanted 4 years earlier for a trifascicular block with intermittent third-degree atrioventricular block. The leads were implanted through the right subclavian access. Safe introducer technique was adopted for intrathoracic cannulation of the subclavian vein.1 St. Jude 1688T-58 cm TENDRIL SDX right ventricular lead "was positioned in the apex after negotiating the tricuspid valve with direct crossing technique. The ventricular lead was not forced against resistance and the passage of lead was atraumatic, without kinking of the introducer. The procedure was uneventful. An electrocardiogram on admission showed evidence of trifascicular block.
机译:自2周以来,一名76岁的男性出现了晕厥前发作。既没有创伤史,也没有感染性心内膜炎的证据。患者有一个双腔起搏器(DDDR,美国加利福尼亚州西尔马市的圣裘德医疗公司),该植入器在4年前植入了具有间歇性三级房室传导阻滞的三房传导阻滞。导线通过锁骨下右侧通道植入。锁骨下静脉的胸腔内插管采用了安全的引导器技术。将St. Jude 1688T-58 cm TENDRIL SDX右心室导线“通过直接交叉技术与三尖瓣协商后放置在心尖。”铅的通过是无创伤的,没有导引者的扭结,过程平稳,入院时的心电图显示有三束性传导阻滞的迹象。

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