经间隔置管过程中可操纵的引入器鞘引起的可逆机械房室传导阻滞。

Q3 Medicine

Journal of atrial fibrillation Pub Date : 2021-04-30 eCollection Date: 2021-04-01 DOI:10.4022/jafib.20200469

Gregory P Siroky, Devendra Bisht, Hieu Huynh, Mena Yacoub, Shawn Lee, Seth Keller, Ranjit Suri

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引用次数: 1

摘要

一个62岁的妇女提出肺静脉隔离(PVI)阵发性心房颤动。在经间隔置管术(TSC)中，患者遭受房室结(AVN)机械性损伤，导致完全性心脏传导阻滞(CHB)。AVN和CHB的损伤在大约40分钟后恢复。患者随后进行了成功的PVI，其余的住院时间平安无事。我们报告了一例在TSC过程中由可操纵的引入鞘引起的AVN可逆损伤，并讨论了损伤的机制以及未来避免此类并发症的潜在措施。

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Reversible Mechanical Atrioventricular Block Caused By A Steerable Introducer Sheath During Transseptal Catheterization.

A 62-year-old woman presents for pulmonary vein isolation (PVI) for paroxysmal atrial fibrillation. During transseptal catheterization (TSC) the patient sustained mechanical injury to the atrioventricular node (AVN) with consequent complete heart block (CHB). Injury to the AVN and CHB recovered after approximately forty minutes. The patient subsequently underwent a successful PVI with the remainder of the hospital stay uneventful. We present a case of reversible injury to the AVN caused by a steerable introducer sheath during TSC and discuss the mechanisms of injury as well as potential measures to avoid such a complication in the future.

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来源期刊

Journal of atrial fibrillation Medicine-Cardiology and Cardiovascular Medicine

CiteScore

1.40

自引率

0.00%

发文量