¿µ±¸Àû ½ÉÀå ¹Úµ¿ Á¶À²±â ÀÌ½Ä ÈÄÀÇ Àç¹ß¼º ¸®µå(lead) ÆļÕ(fracture)°ú ¿ÏÀü ÀÌÅ» 1¿¹
A case of recurrent lead fracture and complete dislocation after permanent pacemaker implantation
´ëÇѳ»°úÇÐȸÁö 2010³â 78±Ç 6È£ p.747 ~ p.750
³ë½Â¿µ(Roh Seung-Eung) - °í·Á´ëÇб³ ½ÉÇ÷°ü¼¾ÅÍ ¼øȯ±â³»°ú
¹ÚÈñ³²(Park Hui-Nam) - ¿¬¼¼´ëÇб³ ¼¼ºê¶õ½ºº´¿ø ¼øȯ±â³»°ú
±èÁö¹Ú(Kim Ji-Bak) - °í·Á´ëÇб³ ½ÉÇ÷°ü¼¾ÅÍ ¼øȯ±â³»°ú
¹®À翵(Moon Jae-Young) - °í·Á´ëÇб³ ½ÉÇ÷°ü¼¾ÅÍ ¼øȯ±â³»°ú
À̱¤³ë(Lee Kwang-No) - °í·Á´ëÇб³ ½ÉÇ÷°ü¼¾ÅÍ ¼øȯ±â³»°ú
±è¿µÈÆ(Kim Young-Hoon) - °í·Á´ëÇб³ ½ÉÇ÷°ü¼¾ÅÍ ¼øȯ±â³»°ú
Abstract
¿ì¸®´Â ¿ÏÀü ¹æ½Ç Â÷´Ü ȯÀÚ¿¡¼ ¹Ýº¹ÀûÀ¸·Î ¹ß»ýÇÑ À¯µµÀý´Ü°ú ÀÌÅ»À» È®ÀÎÇÏ¿´À¸¸ç, ±× ÀÌÀ¯·Î ȯÀÚ°¡ ¹ö½º ¿îÀüÀ» ÇÏ¸é¼ °úµµÇÏ°Ô ÆÈÀ» ¿òÁ÷ÀÎ °Í°ú »ðÀԽà Á¢±Ù ¹æ¹ýÀ» »ý°¢ÇØ º¼ ¼ö ÀÖ¾ú´Ù. »õ·Î¿î À¯µµ¸¦ °Üµå¶ûÀÌ Á¤¸Æ Á¢±Ù¹ýÀ¸·Î »ðÀÔÇÏ°í Á÷¾÷À» ±³Ã¼ÇÔÀ¸·Î½á ¹®Á¦´Â ÇØ°áµÇ¾ú´Ù.
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. (Korean J Med 78:747-750, 2010)
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Àΰø ½É¹Úµ¿ Á¶À²±â, Á¦¼¼µ¿±â, À¯µµ, ¹æ½Ç ÀüµµÂ÷´Ü, ÀÌÅ»
Pacemaker, Defibrillators, Lead, Atrioventricular block, Dislocation
KMID :
0882420100780060747
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À¯È¿¼º°á°ú(Recomendation)
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