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上腔静脉支架移位与感染的放射学处理

Radiological management of superior vena caval stent migration and infection.

作者信息

Srinathan Sadeesh, McCafferty Ian, Wilson Ian

机构信息

Queen Elizabeth Hospital, Birmingham, B15 2TH, UK.

出版信息

Cardiovasc Intervent Radiol. 2005 Jan-Feb;28(1):127-30. doi: 10.1007/s00270-003-0183-x.

Abstract

We report a case of venous obstruction secondary to Hodgkin's lymphoma. Multiple Wallstents were inserted into the superior vena cava to relieve obstructive symptoms secondary to tumor. This procedure was complicated by stent migration into the right ventricle and a presumed stent infection. We describe the percutaneous management of these complications and discuss the issues surrounding the use of stents in this setting. We conclude that these complications can be managed percutaneously. However, the technical details of stent placement are essential in minimizing complications of this type.

摘要

我们报告一例继发于霍奇金淋巴瘤的静脉阻塞病例。在患者上腔静脉内植入多个Wallstent支架以缓解肿瘤继发的阻塞症状。该手术出现了支架迁移至右心室以及推测的支架感染等并发症。我们描述了这些并发症的经皮处理方法,并讨论了在此情况下使用支架的相关问题。我们得出结论,这些并发症可通过经皮方式处理。然而,支架置入的技术细节对于将此类并发症降至最低至关重要。

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