Parahisian Stimulation Through Unusual Vascular Access - Case Report

Carlos Robério Mendes, Paulo Albino
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Abstract

Introduction: To report the case of a patient with a total atrioventricular block with significant ventricular dysfunction whose pacemaker implantation and physiological stimulation occurred through the iliac vein due to tortuosities in other vessels that prevented the procedure. Method: Information was obtained by reviewing the medical records, interviewing the patient, photographing the diagnostic methods to which the patient was submitted, and reviewing the literature. Conclusion: The reported case and published publications bring to light the discussion of pacemaker implantation sites and physiological stimulation in a complex situation that, although it occurs in a minority of cases, when well it is capable of obtaining satisfactory results.
通过不寻常的血管入口进行副肾刺激--病例报告
导言:报告一例患有完全性房室传导阻滞并伴有严重心室功能障碍的患者,由于其他血管的迂曲阻碍了起搏器的植入和生理刺激,该患者通过髂静脉进行起搏器植入和生理刺激。研究方法通过查阅病历、询问患者、拍摄患者接受的诊断方法以及查阅文献来获取信息。结论:报告的病例和发表的文献揭示了在复杂情况下起搏器植入部位和生理刺激的讨论,虽然这种情况只发生在少数病例中,但如果处理得当,也能获得令人满意的结果。
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