. "95736" . "[D5A5CF6A67ED]" . . "1213-807X" . "2" . "right ventriculography; lead; cardiac perforation; implantable cardioverter-defibrillator; pacemaker"@en . "Vysko\u010Dilov\u00E1, Klaudia" . "RIV/00159816:_____/13:00060792!RIV14-MZ0-00159816" . "Cardiac perforations associated with pacemaker and implantable cardioverter-defibrillator leads"@en . . . . . . "http://www.iakardiologie.cz/pdfs/kar/2013/02/05.pdf" . "Perforace srdce stimula\u010Dn\u00ED nebo defibrila\u010Dn\u00ED elektrodou p\u0159edstavuje relativn\u011B vz\u00E1cnou, ale potencion\u00E1ln\u011B z\u00E1va\u017Enou komplikaci, jej\u00ED\u017E klinick\u00FD obraz m\u016F\u017Ee b\u00FDt velmi variabiln\u00ED - od asymptomatick\u00FDch p\u0159\u00EDpad\u016F a\u017E po srde\u010Dn\u00ED tampon\u00E1du. Mezi nej\u010Dast\u011Bj\u0161\u00ED rizikov\u00E9 faktory perforace pat\u0159\u00ED sou\u010Dasn\u00E9 pou\u017Eit\u00ED do\u010Dasn\u00E9 intraven\u00F3zn\u00ED kardiostimulace, u\u017E\u00EDv\u00E1n\u00ED kortikosteroid\u016F, vy\u0161\u0161\u00ED v\u011Bk, \u017Eensk\u00E9 pohlav\u00ED a n\u00EDzk\u00E1 t\u011Blesn\u00E1 hmotnost. Vy\u0161\u0161\u00ED riziko perforace s sebou nesou elektrody s\u00ED\u0148ov\u00E9, defibrila\u010Dn\u00ED a elektrody s aktivn\u00ED fixac\u00ED; u pravokomorov\u00FDch elektrod zvy\u0161uje riziko perforace i apik\u00E1ln\u00ED pozice elektrody. K rutinn\u00EDm diagnostick\u00FDm metod\u00E1m pat\u0159\u00ED interogace p\u0159\u00EDstoje, rentgenov\u00FD sn\u00EDmek hrudn\u00EDku, ultrazvukov\u00E9 vy\u0161et\u0159en\u00ED \u010Di v\u00FDpo\u010Detn\u00ED tomografie. Perforaci srdce elektrodou v prav\u00E9 srde\u010Dn\u00ED komo\u0159e je mo\u017En\u00E9 verifikovat i pravostrannou ventrikulografi\u00ED. Z\u00E1sadn\u00ED terapeutickou metodou je v sou\u010Dasn\u00E9 dob\u011B transven\u00F3zn\u00ED extrakce trakc\u00ED - ta vy\u017Eaduje kontinu\u00E1ln\u00ED echokardiografickou kontrolu a z\u00E1zem\u00ED kardiochirurgick\u00E9ho pracovi\u0161t\u011B, v p\u0159\u00EDpad\u011B hemodynamick\u00E9 nestability pacienta nebo nutnosti revize perfora\u010Dn\u00EDho kan\u00E1lu je indikov\u00E1na chirurgick\u00E1 extrakce. P\u0159i rozvoji srde\u010Dn\u00ED tampon\u00E1dy je \u017Eivot zachra\u0148uj\u00EDc\u00EDm v\u00FDkonem akutn\u00ED perikardiocent\u00E9za. Naproti tomu zcela ojedin\u011Ble u asymptomatick\u00FDch p\u0159\u00EDpad\u016F lze p\u0159i perforaci elektrodou zvolit i konzervativn\u00ED postup." . "Perforace srde\u010Dn\u00EDch dutin zp\u016Fsoben\u00E9 elektrodami implantabiln\u00EDch kardioverter\u016F defibril\u00E1tor\u016F a kardiostimul\u00E1tor\u016F"@cs . "Cardiac perforation associated with a pacemaker or an implantable cardioverter-defibrillator lead is recognised as a relatively rare complication varying in clinical course significantly - from asymptomatic cases up to cardiac tamponade. Potential risk factors for lead perforation include previous temporary lead placement, use of corticosteroids, older age, female gender, and low body mass index. Higher risk of lead perforation is also documented in atrial, defibrillation and active fixation leads; furthermore, right ventricular leads perforations are more likely to occur when implanted in the apical position. The routine diagnostic methods for revealing lead perforations are device interrogation, chest X-ray, echocardiography, and computer tomography. In addition, right ventriculography can be used for the right ventricular lead perforation disclosure. The principal method in lead perforation management nowadays is transvenous lead extraction using simple traction requiring continuous monitoring by oesophagal echocardiography and surgical background. Surgical extraction is suggested in hemodynamically unstable patients and also when revision of a perforated channel is necessary. On the contrary, in asymptomatic patients a conservative approach can also be considered."@en . . . "Lipoldov\u00E1, Jolana" . . "3"^^ . . "Perforace srde\u010Dn\u00EDch dutin zp\u016Fsoben\u00E9 elektrodami implantabiln\u00EDch kardioverter\u016F defibril\u00E1tor\u016F a kardiostimul\u00E1tor\u016F" . . "Interven\u010Dn\u00ED a akutn\u00ED kardiologie" . . "3"^^ . . . . . . . "Cardiac perforations associated with pacemaker and implantable cardioverter-defibrillator leads"@en . "Perforace srdce stimula\u010Dn\u00ED nebo defibrila\u010Dn\u00ED elektrodou p\u0159edstavuje relativn\u011B vz\u00E1cnou, ale potencion\u00E1ln\u011B z\u00E1va\u017Enou komplikaci, jej\u00ED\u017E klinick\u00FD obraz m\u016F\u017Ee b\u00FDt velmi variabiln\u00ED - od asymptomatick\u00FDch p\u0159\u00EDpad\u016F a\u017E po srde\u010Dn\u00ED tampon\u00E1du. Mezi nej\u010Dast\u011Bj\u0161\u00ED rizikov\u00E9 faktory perforace pat\u0159\u00ED sou\u010Dasn\u00E9 pou\u017Eit\u00ED do\u010Dasn\u00E9 intraven\u00F3zn\u00ED kardiostimulace, u\u017E\u00EDv\u00E1n\u00ED kortikosteroid\u016F, vy\u0161\u0161\u00ED v\u011Bk, \u017Eensk\u00E9 pohlav\u00ED a n\u00EDzk\u00E1 t\u011Blesn\u00E1 hmotnost. Vy\u0161\u0161\u00ED riziko perforace s sebou nesou elektrody s\u00ED\u0148ov\u00E9, defibrila\u010Dn\u00ED a elektrody s aktivn\u00ED fixac\u00ED; u pravokomorov\u00FDch elektrod zvy\u0161uje riziko perforace i apik\u00E1ln\u00ED pozice elektrody. K rutinn\u00EDm diagnostick\u00FDm metod\u00E1m pat\u0159\u00ED interogace p\u0159\u00EDstoje, rentgenov\u00FD sn\u00EDmek hrudn\u00EDku, ultrazvukov\u00E9 vy\u0161et\u0159en\u00ED \u010Di v\u00FDpo\u010Detn\u00ED tomografie. Perforaci srdce elektrodou v prav\u00E9 srde\u010Dn\u00ED komo\u0159e je mo\u017En\u00E9 verifikovat i pravostrannou ventrikulografi\u00ED. Z\u00E1sadn\u00ED terapeutickou metodou je v sou\u010Dasn\u00E9 dob\u011B transven\u00F3zn\u00ED extrakce trakc\u00ED - ta vy\u017Eaduje kontinu\u00E1ln\u00ED echokardiografickou kontrolu a z\u00E1zem\u00ED kardiochirurgick\u00E9ho pracovi\u0161t\u011B, v p\u0159\u00EDpad\u011B hemodynamick\u00E9 nestability pacienta nebo nutnosti revize perfora\u010Dn\u00EDho kan\u00E1lu je indikov\u00E1na chirurgick\u00E1 extrakce. P\u0159i rozvoji srde\u010Dn\u00ED tampon\u00E1dy je \u017Eivot zachra\u0148uj\u00EDc\u00EDm v\u00FDkonem akutn\u00ED perikardiocent\u00E9za. Naproti tomu zcela ojedin\u011Ble u asymptomatick\u00FDch p\u0159\u00EDpad\u016F lze p\u0159i perforaci elektrodou zvolit i konzervativn\u00ED postup."@cs . . "Perforace srde\u010Dn\u00EDch dutin zp\u016Fsoben\u00E9 elektrodami implantabiln\u00EDch kardioverter\u016F defibril\u00E1tor\u016F a kardiostimul\u00E1tor\u016F"@cs . . "Nov\u00E1k, Miroslav" . "CZ - \u010Cesk\u00E1 republika" . "12" . "I, P(ED1.100/02/0123)" . "RIV/00159816:_____/13:00060792" . "Perforace srde\u010Dn\u00EDch dutin zp\u016Fsoben\u00E9 elektrodami implantabiln\u00EDch kardioverter\u016F defibril\u00E1tor\u016F a kardiostimul\u00E1tor\u016F" . "4"^^ .