通过股骨入路卡住被生物人工三尖瓣栓塞的受感染右心室导联，以便经静脉拔出导联。

Q3 Medicine

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2024-10-15 eCollection Date: 2024-10-01 DOI:10.19102/icrm.2024.15105

Sapan Bhuta, Sena Colak, Aleena I Arif, Muhammad R Afzal

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引用次数: 0

摘要

一名 85 岁的女性患者因感染性心内膜炎并发科里纳菌菌血症，人工二尖瓣和右心室（RV）导联上有植被。患者有一个单腔永久起搏器和两个右心室导联，其中一个导联曾在生物人工三尖瓣置换术后被卡住或 "囚禁"。在左锁骨下上静脉和右股下静脉途径的同时牵引下，通过激光抽取术实现了包括长期滞留的 RV 导联在内的完全经静脉导联抽取。

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Snaring via a Femoral Approach to Facilitate Transvenous Lead Extraction of an Infected Right Ventricular Lead Jailed by a Bioprosthetic Tricuspid Valve.

An 85-year-old woman presented with Corynebacterium bacteremia complicated by infective endocarditis with vegetations on the prosthetic mitral valve and right ventricular (RV) lead. The patient had a single-chamber permanent pacemaker with two RV leads, one of which was previously trapped or "jailed" after a bioprosthetic tricuspid valve replacement. Complete transvenous lead extraction including the chronically retained jailed RV lead was achieved via laser extraction assisted by concomitant traction from a superior left subclavian and inferior right femoral venous approach.

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来源期刊

Journal of Innovations in Cardiac Rhythm Management Medicine-Cardiology and Cardiovascular Medicine

CiteScore

1.50

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0.00%

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