Oozing from the pericardium as an etiology of cardiac tamponade associated with screw-in atrial leads

被引：22

作者：

Aizawa, K

Kaneko, Y

Yamagishi, T

Utsugi, T

Suzuki, T

Ishikawa, S

Otaki, A

Morishita, Y

Hasegawa, A

Kurabayashi, M

Nagai, R

机构：

[1] Univ Tokyo, Grad Sch Med, Dept Cardiovasc Med, Bunkyo Ku, Tokyo 1138655, Japan

[2] Gunma Univ, Sch Med, Dept Internal Med 2, Gunma, Japan

[3] Gunma Univ, Sch Med, Dept Surg 2, Gunma, Japan

来源：

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2001年 / 24卷 / 03期

关键词：

pacemaker complications; atrial perforation; active fixation; cardiac tamponade;

D O I：

10.1046/j.1460-9592.2001.00381.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Screw-in atrial pacing leads are widely used. Cardiac tamponade is a complication. An 82-year-old woman with advanced atrioventricular block underwent permanent pacemaker implantation and subsequently developed cardiac tamponade. At surgery, the lead-tip screw was found penetrated through the right atrium but nor through the pericardium. The source of bleeding was confirmed to scratching the inner pericardial membrane by the screw tip. Although cardiac tamponade due to perforation and leakage is known, tamponade caused by the trauma of an atrial screw on the pericardium with resultant ooze is less well described.

引用

页码：381 / 383

页数：3