一个旋转的梦的Twiddler综合征?
Nathan Flores Miranda1, Habib Rehman Khan1, Ahmed T Moustafa1
1London Health Sciences Center Research Institute, Western University, London, Canada.
Pacing and clinical electrophysiology : PACE
|March 13, 2026
概括
吐德勒综合征会导致心脏器械的失效. 一个独特的案例涉及垂直脉冲发生器旋转,导致纵向旋,绝缘断裂和断裂,需要去除.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 可植入的电子设备
背景情况:
- 吐德勒综合征是CIED植入的已知并发症.
- 通常,它涉及到水平脉冲发生器旋转,导致"卷曲".
研究的目的:
- 为了呈现一个独特的Twiddler综合征病例与垂直脉冲发生器旋转.
- 突出一种新的损伤机制,并强调适当的植入技术.
主要方法:
- 一个81岁的女性患者的病例报告.
- 对设备故障的分析,包括上升的值和低阻抗.
- 光学确认绝缘断裂和断裂.
主要成果:
- 观察到一种新的垂直脉冲发生器旋转的新机制.
- 这导致了纵向RV旋,绝缘断裂和骨折.
- 的提取是不可能的;被封闭并埋葬.
结论:
- 这个案例证明了Twiddler综合征中独特的旋机制.
- 适当的定技术至关重要,以防止CIED导致的并发症.
- 医生应该意识到Twiddler综合征的非典型表现.
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