Varghese Rekhi, Chess David, Lasorda David
Department of Cardiology, Allegheny General Hospital, Pittsburgh, Pennsylvania 15212, USA.
Catheter Cardiovasc Interv. 2009 Jun 1;73(7):899-901. doi: 10.1002/ccd.22028.
Diagnostic cardiac catheterizations are predominantly performed using access through the femoral artery. To improve patient comfort and early mobilization, a number of percutaneous closure devices have been developed. One such device using the nitinol clip was developed by Abbott Vascular Devices and was approved for use on the basis of the results of the Clip Closure In Percutaneous Procedures (CLIP) study. The safety of repuncture through a previously deployed device has not been established in humans. We present the case of a patient who had an arterial line placed for post-operative monitoring after cardiac surgery at the site of a previous arteriotomy closed with the Starclose device. The catheter traversed through the central portion, tethered to the periphery of the ninitol clip, and required surgery for extraction.
诊断性心脏导管插入术主要通过股动脉入路进行。为了提高患者舒适度和早期活动能力，已开发出多种经皮闭合装置。雅培血管器械公司研发了一种使用镍钛合金夹的此类装置，并根据经皮手术夹闭术（CLIP）研究结果获批使用。在人体中，通过先前植入的装置再次穿刺的安全性尚未得到证实。我们报告一例患者，其在心脏手术后于先前用Starclose装置闭合的动脉切开部位放置动脉导管用于术后监测。导管穿过镍钛合金夹的中心部分并与周边相连，需要通过手术取出。
