영구적 심장 박동 조율기 이식 후의 재발성 리드(lead) 파손(fracture)과 완전 이탈 1예
A case of recurrent lead fracture and complete dislocation after permanent pacemaker implantation
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초록
우리는 완전 방실 차단 환자에서 반복적으로 발생한 유도 절단과 이탈을 확인하였으며, 그 이유로 환자가 버스 운전을 하면서 과도하게 팔을 움직인 것과 삽입시 접근 방법을 생각해 볼 수 있었다. 새로운 유도를 겨드랑이 정맥 접근법으로 삽입하고 직업을 교체함으로써 문제는 해결되었다.
Abstract
With the increased use of implantable cardiac devices, the incidence of hardware problems has also increased. Some of the hardware problems might be induced by patient factors. We experienced recurrent pacemaker lead fracture and dislocation after permanent pacemaker implantation. The patient was a bus driver who used his left arm vigorously when he turned the steering wheel. After a new lead was inserted via an axillary vein approach and the patient changed his occupation, no more lead problems have occurred. When a recurrent hardware problem with an implantable pacemaker or defibrillator occurs, patient factors related to anatomy or behavior must be considered.
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