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上腔静脉支架迁移至肺动脉导致致命性肺梗死。

Superior vena cava stent migration into the pulmonary artery causing fatal pulmonary infarction.

机构信息

Department of Clinical Oncology, Charing Cross Hospital, London W6 9NT, England.

出版信息

Cardiovasc Intervent Radiol. 2011 Feb;34 Suppl 2:S198-201. doi: 10.1007/s00270-010-9812-3. Epub 2010 Feb 5.

Abstract

Migration of superior vena cava (SVC) stents is a well-recognised complication of their deployment, and numerous strategies exist for their retrieval. To our knowledge, only three cases of migration of an SVC stent to the pulmonary vasculature have previously been reported. None of these patients developed complications that resulted in death. We report a case of SVC stent migration to the pulmonary vasculature with delayed pulmonary artery thrombosis and death from pulmonary infarction. We conclude that early retrieval of migrated stents should be performed to decrease the risk of serious complications.

摘要

上腔静脉(SVC)支架迁移是其部署中公认的并发症,有许多策略可用于回收它们。据我们所知,此前仅报道过三例 SVC 支架迁移到肺血管的病例。这些患者均未发生导致死亡的并发症。我们报告了一例 SVC 支架迁移到肺血管的病例,伴有肺动脉血栓形成和肺梗死导致的死亡。我们得出结论,应尽早回收迁移的支架,以降低严重并发症的风险。

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