Kokov L S, Korostelev A N, Grinko A N, Ilyina M V, Solopova G V, Aiazian E, Setum C M
Departments of Roentgenovascular Surgery and Heart Surgery, A.V. Vishevski Institute of Surgery, Moscow, Russia.
Catheter Cardiovasc Interv. 2001 Aug;53(4):504-7. doi: 10.1002/ccd.1210.
The modified Blalock-Taussig shunt is the palliative treatment of choice for tetralogy of Fallot. Shunt thrombosis is a potential complication, requiring high-risk reoperation. The use of percutaneous rheolytic devices for thrombus removal in such occluded shunts has not been previously reported. We describe a case in which use of a rheolytic catheter resulted in significant thrombus removal and rapid reversal of cyanosis and dyspnea in a 5-year-old patient. The patient remains free of symptoms at 30-day follow-up.
改良布莱洛克 - 陶西格分流术是法洛四联症的首选姑息治疗方法。分流血栓形成是一种潜在并发症，需要进行高风险的再次手术。此前尚未有关于使用经皮血栓溶解装置清除此类闭塞分流中血栓的报道。我们描述了一例5岁患者，使用血栓溶解导管后血栓显著清除，紫绀和呼吸困难迅速缓解。该患者在30天随访时仍无症状。
