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中华心脏与心律电子杂志 ›› 2026, Vol. 14 ›› Issue (01) : 54 -56. doi: 10.3877/cma.j.issn.2095-6568.2026.01.009

病例报告

植入型心律转复除颤器术中心室除颤导线致心脏穿孔一例
邢雪琴(), 白银龙, 邱英茹   
  1. 030024 太原,山西省心血管病医院心内科
  • 收稿日期:2025-03-06 出版日期:2026-03-25
  • 通信作者: 邢雪琴
  • 基金资助:
    山西省心血管病医院科研激励计划项目(XYS20210206)

A case of cardiac perforation caused by ventricular defibrillation electrode during implantable cardioverter defibrillator operation

Xueqin Xing(), Yinlong Bai, Yingru Qiu   

  1. Department of Cardiovascular Medicine, Shanxi Provincial Cardiovascular Disease Hospital,Taiyuan 030024, China
  • Received:2025-03-06 Published:2026-03-25
  • Corresponding author: Xueqin Xing
引用本文:

邢雪琴, 白银龙, 邱英茹. 植入型心律转复除颤器术中心室除颤导线致心脏穿孔一例[J/OL]. 中华心脏与心律电子杂志, 2026, 14(01): 54-56.

Xueqin Xing, Yinlong Bai, Yingru Qiu. A case of cardiac perforation caused by ventricular defibrillation electrode during implantable cardioverter defibrillator operation[J/OL]. Chinese Journal of Heart and Heart Rhythm(Electronic Edition), 2026, 14(01): 54-56.

随着人工心脏起搏器植入数量的不断增加,起搏技术也在持续优化。但目前心脏穿孔仍是起搏器植入较严重的并发症之一。本文报道1例植入型心律转复除颤器术中心室除颤导线致心脏穿孔病例,旨在提升对导线穿孔的认识,减少手术并发症的发生。

With the continuous increase in the number of artificial cardiac pacemaker implantations, related technologies are constantly being optimized. However, cardiac perforation remains one of the more serious complications of pacemaker implantation. This article reports a case of cardiac perforation caused by a ventricular defibrillation lead during implantation of an implantable cardioverter defibrillator, aiming to improve the understanding of lead perforation and reduce the risk of surgical complications.

图1 第1次放置导线位置(1A为右前斜位30°;1B为左前斜位45°)
图2 调整后导线位置(2A为正位;2B为左前斜位45°)
图3 心包穿刺抽液(左前斜位30°)
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