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锁骨下静脉是取出血管内异物的一种不寻常的入路。

Subclavian vein an unusual access for the removal of intravascular foreign bodies.

作者信息

da Motta Leal Filho Joaquim Mauricio, Carnevale Francisco Cesar, Cerri Giovanni Guido

机构信息

Interventional Radiology Unit, Radiology Institute, Hospital das Clinicas, University of São Paulo Medical School, São Paulo, Brazil.

出版信息

Ann Vasc Surg. 2010 Aug;24(6):826.e1-4. doi: 10.1016/j.avsg.2010.02.031. Epub 2010 May 14.

Abstract

Catheter migration or catheter fracture and consequent migration of a fragment is a rare complication that occurs in 1% of the patients. Despite the low incidence, embolization may cause severe and potentially fatal complications, with the mortality rates varying between 24 and 60%. The gold standard treatment for this condition is the extraction of the fragmented catheter by the intravascular percutaneous route, through the common femoral vein. If it is not available, the extraction procedure must be performed through an alternative access. This article describes a fully successful removal of a fragmented catheter by percutaneous intravascular access obtained through the right subclavian vein.

摘要

导管移位或导管断裂以及随之而来的碎片移位是一种罕见的并发症,发生率为1%。尽管发病率较低,但栓塞可能会导致严重且潜在致命的并发症,死亡率在24%至60%之间。这种情况的金标准治疗方法是通过股总静脉经血管内经皮途径取出断裂的导管。如果无法通过该途径进行,提取程序必须通过替代通路进行。本文描述了通过经右锁骨下静脉获得的经皮血管内通路成功完全取出断裂导管的过程。

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