心脏监护点超声(POCUS)检测临时经静脉起搏导联导致室间隔穿孔。

POCUS journal Pub Date : 2025-04-15 eCollection Date: 2025-04-01 DOI:10.24908/pocusj.v10i01.18271
Pablo Blanco, Liliana Figueroa
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引用次数: 0

摘要

在放置临时经静脉起搏器(TTP)期间或之后不久会出现一些并发症,其中一些可能是毁灭性的。在护理点超声(POCUS)和腔内心电图(ECG)的指导下,成功地将TTP放置在有症状的完全房室传导阻滞的中年妇女身上。植入3天后,心脏POCUS显示起搏器功能失常,起搏导联向左心室心尖偏移。在随后的心脏POCUS检查中,没有发现任何并发症。为了预防并发症和帮助早期发现与TTPs相关的并发症,应强烈考虑心脏POCUS。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perforation of the Interventricular Septum by a Temporary Transvenous Pacing Lead Detected by Cardiac Point of Care Ultrasound (POCUS).

Several complications can arise during or shortly after the placement of a temporary transvenous pacemaker (TTP), some of which can be potentially devastating. A TTP was successfully placed under the guidance of point of care ultrasound (POCUS) and intracavitary electrocardiogram (ECG) in a middle-aged woman with symptomatic complete atrioventricular block. Three days post-insertion, pacemaker malfunction was observed along with the migration of the pacing lead to the left ventricular apex on cardiac POCUS. The lead was promptly repositioned, and no complications were noted on subsequent cardiac POCUS examinations. To prevent complications and aid early detection of complications associated with TTPs, cardiac POCUS should be strongly considered.

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