无铅起搏器因初始装置故障导致意外冠状动脉窦栓塞一例报告

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL

Clinical Case Reports Pub Date : 2025-09-29 DOI:10.1002/ccr3.70984

Yutaro Oshima, Tsuyoshi Nozue, Masahiro Katamine, Taku Iwaki

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引用次数: 0

摘要

与经静脉系统相比，无铅起搏器减少了并发症，但可能发生装置移位和栓塞。我们报告一位患有心房颤动和心动过缓的81岁男性，他接受了Micra植入。由于内轴损伤和固定时间不足，装置栓塞进入冠状动脉窦。使用双圈套技术成功地回收了它，并植入了一个新的装置。该病例强调了细致的部署技术和对设备连接进行彻底的术中评估的重要性，以及意外栓塞的故障排除策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Unexpected Coronary Sinus Embolization of a Leadless Pacemaker due to Initial Device Failure: A Case Report

查看原文本刊更多论文

Unexpected Coronary Sinus Embolization of a Leadless Pacemaker due to Initial Device Failure: A Case Report

Leadless pacemakers reduce complications compared to transvenous systems, but device dislodgement and embolization can occur. We report an 81-year-old man with atrial fibrillation and bradycardia who underwent Micra implantation. Because of inner shaft damage and insufficient tine fixation, the device embolized into the coronary sinus. It was successfully retrieved using a double-snare technique, and a new device was implanted. This case highlights the importance of meticulous deployment technique and thorough intraprocedural assessment of device attachment, as well as troubleshooting strategies for unexpected embolization.

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来源期刊

Clinical Case Reports MEDICINE, GENERAL & INTERNAL-

自引率

14.30%

发文量

1268

审稿时长

13 weeks

期刊介绍： Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).