一个Twiddler综合征的病例系列
Roberta Montisci1, Cinzia Soro1,2, Roberta Demelas1
1Cardiologia-UTIC, Policlinico 'D. Casula', Azienda Ospedaliero-Universitaria-Cagliari, Department of Clinical Sciences and Public Health, University of Cagliari, SS. 554, Km 4,5, Monserrato, Cagliari 09042, Italy.
European heart journal. Case reports
|January 19, 2024
概括
吐德勒综合征 (TS) 是心脏植入式电子设备 (CIED) 植入的并发症. 本报告详细介绍了TS的两个成功的手术解决方案,包括无心脏起器植入和设备重新定位.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 手术创新 在外科创新.
背景情况:
- 吐德勒综合征 (TS) 是心脏植入式电子设备 (CIED) 植入后的一种已知的并发症.
- 它是由患者对设备的操纵引起的,导致脱.
- TS会导致设备故障并增加感染风险.
研究的目的:
- 为了介绍Twiddler综合征的两个不同的临床病例.
- 描述每个案例实施的成功的手术管理策略.
- 突出有效的解决方案来管理TS并发症.
主要方法:
- 案例1:完全移除现有的CIED系统,并植入一个无心脏起器 (Medtronic Micra VR).
- 案例2:修复手术涉及节拍器断开连接,除,创建一个亚肌肉口袋,并将节拍器固定在胸部大肌肉上.
- 这两种情况都涉及解决位和设备重新定位的问题.
主要成果:
- 这两种手术干预都成功地解决了Twiddler综合征的影响.
- 在案例1中,无心脏起器植入器提供了最终的解决方案.
- 案例2的修订程序有效地管理了脱落的设备和线索.
结论:
- 吐德勒综合征是CIEDs的一个重要并发症,需要有效的管理.
- 不同的手术方法,包括无心脏起器植入和口袋修复,可以成功治疗TS.
- 这些策略可以缓解设备故障,并降低与TS相关的感染风险.
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