静脉胸口综合征,作为心脏植入式电子设备植入的陷
Daisuke Kawano1,2, Hitoshi Mori1, Masanori Taniwaki2
1Department of Cardiology, Saitama Medical University, International Medical Center, Hidaka-shi, Saitama, Japan.
Pacing and clinical electrophysiology : PACE
|August 10, 2023
概括
由于胸腔出口综合征 (TOS) 的下静脉应激会导致器件感染. 仔细的成像是诊断的关键,无心脏起器为静脉TOS患者提供了替代方案.
科学领域:
- 心脏病学 心脏病学
- 血管外科 血管外科
- 医疗成像医学成像
背景情况:
- 心血管植入式电子器件 (CIED) 通常使用下静脉进行植入.
- 由于运动或受伤,关节下静脉的外部压力可能会导致与有关的并发症.
- 静脉胸部外出综合征 (TOS) 是一个未被确诊的下静脉压缩和潜在的CIED并发症的原因.
研究的目的:
- 为了突出一个独特的CIED感染病例,该病例发生在患有静脉TOS的患者身上.
- 强调静脉TOS的诊断挑战,即使在看似正常的静脉描绘.
- 讨论无心脏起器作为静脉TOS患者的潜在替代品.
主要方法:
- 案例报告的呈现方式.
- 对临床表现和诊断成像的审查.
- 讨论治疗选择. 讨论治疗选择.
主要成果:
- 一位患有静脉TOS的患者患上了CIED感染.
- 下静脉图可以在静脉TOS中看起来正常,使诊断复杂化.
- 设备感染得到了成功的管理,并且考虑了无节奏.
结论:
- 静脉TOS的准确诊断需要仔细审查成像研究.
- 无心脏起器植入是一种可行的替代方案,以减少静脉TOS患者的相关并发症.
- 早期识别和管理静脉TOS对于预防CIED并发症至关重要.
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