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1. 1 1 2 X
2. 1 1 6947M 4 LI ms I es cm 49 55 62 72 97 3
3. 5 1 2 E CD 3 4 8 8 1 Magney JE et al Anatomical mechanisms explaining damage to pacemaker leads defibrillator leads and failure of central venous catheters adjacent to the sternoclavicular joint PACE 1993 16 445 457 Suzuki Y
4. AccuRead DF4 3 0 1 2 3 5 6 X ICD
5. k 4 5 36 37 38 39 40 41 47 PI TAC 0037T Fr 9 0 11 0 6
6. a WO AN a er Ci ta RS 1
7. ICD
8. IE bt 2 RE 30 30 0 5ms 1 0V 3 0V 200 1 000 Q 200 1 000 Q 200m 5mV 3mV 0 75V s 0 45V s 6947M AccuRead DF4 5 SVC RV RV 6 6 7 ICD 8 ICD 1 ICD
9. 9 82 4 5 3 4 5 Ee 6 7 AccuRead a ACI ICD 1
10. KK NN NN 4 1 2
11. thoracic outlet syndrome 1 1 o
12. cm 0 0 0 49 21 9 23 0 1 24 55 24 7 25 9 1 38 62 27 9 29 3 1 53 72 32 5 34 1 1 76 97 44 0 46 1 2 31 1 NO 2 1 8 1 ES DF4 1 PI TAC 0037T 6947M DF4
13. 6947M DF4 IICD CT PI TAC 0037T 2 1 lt a 5 2 IS PS 2 3
14. CN ICD ICD f ICD CR PR tt 1 Tr DF4 E
15. 3 3 E 4 4 9 0Fr 11 0Fr 4 1 Im 2 DF4 1 3 4 1 2 5
16. 14 15 16 17 18 1
17. 4 I RE OR CR RS 5 4 7 ICD 6947M 1 5 lt 1 1 MR 1
18. mm 490 22 551 18 619 76 718 82 970 28 4 tmm 2 82 5 00 6 1 1 0mg 2 1 7 Ei 2
19. 2 lt 2 2 DF4 1 5 2 1 1 cm 49 17 55 18 62 20 72 22 97 27 3 4 2
20. 2 3 3 1 k 2 3 3
21. X HH HR 3 ICD ICD amp ICD
22. X A B A es ks te X Ri X 8 4
23. 7 1CD 3 5 2 PI TAC 0037T 8 ES lt Ro 9 10 11 12 13
24. 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 8
25. ICD 7 7 2 ICD 1 1 2 3 4 5 6
26. amp UL ICD 1 1 2
27. 0 1 3 AccuRead 1 ACI ACle 0 2 2 3 ICD
28. 91 PI TAC 0037T 2013 9 12 2 2011 7 11 1 PI TAC 0037T Medtronic 21900BZX01168000 07 JMDN 36241000 Sprint 6947M 2 1
29. Fujimori S Sakai M et al A case of pacemaker lead racture associated with thoracic outlet syndrome PACE 1998 11 326 330 agney JE et al Anew approach to percutaneous subclavian Venipuncture to avoid lead fracture or central venous catheter occlusion PACE 1993 16 2133 2142 105 0021 2 14 1 03 6430 2012 lt Medtronic 105 0021 2 14 1 TEL 03 6430 2012 5 5 Medtronic Inc

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