在左心室意外放置的跨动脉节拍器的管理:一步一步的方法
Jakrin Kewcharoen1, Tahmeed Contractor1, Kamal Kotak1
1Department of Cardiology, Loma Linda University Medical Center, Loma Linda, CA, USA.
The Journal of innovations in cardiac rhythm management
|June 30, 2023
概括
在左心室内心脏起器的错位被成功通过使用"哨兵大脑保护系统"通过皮肤切除来治疗. 这种方法有效地预防了血栓栓塞事件,确保了患者的安全和康复.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 心脏电生理学 心脏电生理学
背景情况:
- 无意中将心脏起器放到左心室中,会造成血栓栓塞,膜损伤和内心炎等风险.
- 在左心室内输动动脉导管的放置需要谨慎管理,以减轻潜在的并发症.
研究的目的:
- 描述一个成功通过皮肤去除从左心室不经意间放置的跨动脉起器的案例.
- 详细说明在取过程中使用哨兵大脑保护系统以防止栓塞事件.
- 概述一个逐步的方法去除,专注于尽量减少中风和出血的风险.
主要方法:
- 咨询了一个涉及心脏电生理学和干预心脏病学的多学科团队.
- 使用"哨兵大脑保护系统"进行皮革除.
- 讨论了患者的治疗选择和风险,包括中风和出血.
主要成果:
- 起器的已经成功地从左心室中移除.
- 在手术过程中,哨兵大脑保护系统有效地预防了血栓栓塞事件.
- 患者很好地忍受了手术,没有术后并发症.
- 患者在第二天接受口服抗凝药后出院.
结论:
- 无意中放置的左心室心脏起器导线的穿皮切除是可行的和安全的.
- 哨兵大脑保护系统是减轻开采期间中风风险的宝贵工具.
- 多学科的方法和仔细的患者选择对于复杂的领导管理案例的成功结果至关重要.
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