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一种解开心内血流导向球囊导管打结的技术。

A technique for unknotting an intracardiac flow-directed balloon catheter.

作者信息

Mond H G, Clark D W, Nesbitt S J, Schlant R C

出版信息

Chest. 1975 Jun;67(6):731-3. doi: 10.1378/chest.67.6.731.

DOI:10.1378/chest.67.6.731
PMID:1126233
Abstract

Described is an unusual complication occurring during right-sided cardiac catheterization using a 7F flow-directed balloon catheter. During an attempt to direct the catheter from the main pulmonary artery into the pulmonary wedge position, the tip became entangled in a loop of catheter and knotted. Initially, all attempts to unknot or remove the catheter failed. A movable core guide wire was passed through the major lumen of the catheter, resulting in the immediate unknotting of the catheter, thus allowing its withdrawal.

摘要

描述了一种在使用7F血流导向球囊导管进行右侧心导管插入术期间发生的罕见并发症。在试图将导管从主肺动脉引导至肺楔压位置时,导管尖端缠结在一段导管中并打结。最初,所有解开或取出导管的尝试均失败。一根可移动的导丝穿过导管的主要腔道,导管随即解开,从而得以撤出。

相似文献

1
A technique for unknotting an intracardiac flow-directed balloon catheter.一种解开心内血流导向球囊导管打结的技术。
Chest. 1975 Jun;67(6):731-3. doi: 10.1378/chest.67.6.731.
2
[Knotting of Swan-Ganz catheter. How to unknot without surgery?].[ Swan-Ganz导管打结。如何不解开手术来解开结?]
Presse Med. 1985 Jun 8;14(23):1287-8.
3
Massive hemoptysis secondary to flow-directed thermodilution catheters.血流导向热稀释导管继发的大量咯血。
Cathet Cardiovasc Diagn. 1979;5(2):151-7. doi: 10.1002/ccd.1810050209.
4
Pulmonary artery catheter-induced hemorrhage.
Chest. 1984 Jan;85(1):128-31. doi: 10.1378/chest.85.1.128.
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Knotting of a flow-directed catheter about a cardiac structure.血流导向导管在心脏结构周围打结。
Cathet Cardiovasc Diagn. 1977;3(2):171-5. doi: 10.1002/ccd.1810030209.
6
Percutaneous unknotting of intravascular catheters and retrieval of catheter fragments.
AJR Am J Roentgenol. 1983 Aug;141(2):397-402. doi: 10.2214/ajr.141.2.397.
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Catheter-induced pulmonary artery perforation associated with an unusual wedge pressure tracing.
Can J Anaesth. 1987 Mar;34(2):168-71. doi: 10.1007/BF03015339.
8
Knotting of intracardiac flow-directed balloon catheter. Simple surgical method of removal.心内血流导向球囊导管打结。简单的手术取出方法。
Chest. 1983 Jan;83(1):147-8. doi: 10.1378/chest.83.1.147.
9
Intracardiac knotting of a flow-directed balloon catheter.
N Engl J Med. 1971 Jan 28;284(4):220. doi: 10.1056/NEJM197101282840422.
10
Segmental pulmonary angiography in the critically-ill patient using a flow-directed catheter.使用血流导向导管对危重症患者进行肺段血管造影。
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引用本文的文献

1
Bedside management of a knotted Swan-Ganz catheter - A case report and literature review.打结的 Swan-Ganz 导管的床边处理——一例病例报告及文献综述
Int J Surg Case Rep. 2025 Mar;128:111013. doi: 10.1016/j.ijscr.2025.111013. Epub 2025 Feb 4.
2
Jugular Venous Catheterization: A Case of Knotting.颈静脉置管:一例打结病例
Case Rep Med. 2015;2015:810346. doi: 10.1155/2015/810346. Epub 2015 Nov 8.
3
True knot in a Swan-Ganz catheter on a central venous catheter: a simple trick for percutaneous removal.中心静脉导管上的 Swan-Ganz 导管出现真结:经皮移除的一个简单技巧。
Intensive Care Med. 1996 Aug;22(8):830-1. doi: 10.1007/BF01709529.
4
Complications of the Swan-Ganz catheter.
World J Surg. 1984 Feb;8(1):76-81. doi: 10.1007/BF01658370.
5
Inadvertant atrial fixation of a Swan-Ganz catheter by suture and a method for its percutaneous removal.经缝合意外将 Swan-Ganz 导管心房固定及其经皮移除方法。
Cardiovasc Intervent Radiol. 1987;10(3):171-4. doi: 10.1007/BF02577996.
6
Influence of elevated pulmonary vascular resistance on the relationship between central venous pressure and pulmonary artery occluded pressure following cardiopulmonary bypass.体外循环后肺血管阻力升高对中心静脉压与肺动脉闭塞压之间关系的影响。
Can Anaesth Soc J. 1978 Mar;25(2):106-12. doi: 10.1007/BF03005065.
7
Hemodynamic monitoring: catheter insertion techniques, complications and trouble-shooting.血流动力学监测:导管插入技术、并发症及故障排除。
Can Med Assoc J. 1979 Oct 6;121(7):885-92.