Septal Branch Occlusion Leading to Complete Heart Block Post-Percutaneous Intervention: A Cautionary Tale in Left Bundle Branch Block Patients

被引：0

作者：

Manasrah, Almothana ^{[1
]}

Akel, Tamer ^{[2
]}

Qaqa, Firas ^{[3
]}

机构：

[1] United Hlth Serv, Wilson Med Ctr, Internal Med Dept, Johnson City, NY 13790 USA

[2] St Josephs Univ, Med Ctr, Cardiol Dept, Paterson, NJ USA

[3] Holy Name Med Ctr, Cardiol Dept, Teaneck, NJ USA

来源：

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2025年 / 105卷 / 05期

关键词：

complete heart block; percutaneous intervention complication; septal branch occlusion; side branch occlusion; COMPLETE ATRIOVENTRICULAR-BLOCK; ANTERIOR DESCENDING ARTERY; CORONARY INTERVENTION; PERFORATOR;

D O I：

10.1002/ccd.31451

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 66-year-old man with a baseline electrocardiogram (ECG) showing left bundle branch block developed persistent complete atrioventricular block following stent placement in the proximal left anterior descending artery (LAD), necessitating permanent pacemaker implantation. The complication is believed to have resulted from occlusion of the second septal branch, which likely supplied the right bundle of the His system. During elective interventions targeting the LAD in patients with pre-existing conduction abnormalities, it is crucial to maintain adequate blood flow to the septal perforators.

引用

页码：1236 / 1240

页数：5

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