主动固定起搏导线导致心脏穿孔3例及文献复习

目的:了解主动固定起搏导线导致心脏穿孔的发生机制、临床表现、诊断及治疗方法。方法:分析置入主动固定起搏导线术后出现心脏穿孔3例患者的临床资料,结合有关文献,对该并发症的发生机制、临床症状、诊断方法以及治疗进行论述。结果:主动固定起搏导线导致心脏穿孔临床表现多样化,B超和多排CT是诊断该并发症的主要方法,心包穿刺引流以及相关的主动固定起搏导线重新置入是处理该并发症的主要治疗。结论:心脏穿孔是主动固定起搏导线的严重并发症,及时和正确处理至关重要。

Cardiac perforation caused by active-fixation pacing lead: 3 cases report and literature review

Objective:To study the mechanisms,clinical manifestation,diagnosis and treatment of cardiac perforation caused by active-fixation pacing lead.Method:The clinical data of 3 cases with cardiac perforation was studied,and the literature was reviewed.Result:The clinical manifestation varied,the main diagnostic methods were ultrasound and Multi-detector Helical CT,drainage of pericardium and pacing lead reposition were vital for the complication.Conclusion:Cardiac perforation caused by active-fixation pacing lead is a severe complication.It is vital important to diagnose in time and treat exactly.