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用于经皮肺栓塞碎解的新装置。

New device for percutaneous fragmentation of pulmonary emboli.

作者信息

Schmitz-Rode T, Günther R W

机构信息

Department of Diagnostic Radiology, Technical University of Aachen, Germany.

出版信息

Radiology. 1991 Jul;180(1):135-7. doi: 10.1148/radiology.180.1.2052680.

DOI:10.1148/radiology.180.1.2052680
PMID:2052680
Abstract

A new catheter system was designed for percutaneous fragmentation of large pulmonary emboli. The device consists of an impeller rotating at high speed at the center of a self-expandable basket at the tip of a 7-F catheter. The highly flexible catheter was able to reach all tested embolus sites in a glass model of the pulmonary arterial tree. Embolus fragmentation was quick and thorough. Particles in the effluent larger than 10 microns accounted for only about 9% of the treated embolus weight. Wall contact with the rotating impeller was not observed. The impeller-basket catheter promises to be a useful tool for percutaneous treatment of acute pulmonary embolism.

摘要

一种用于经皮破碎大型肺栓塞的新型导管系统被设计出来。该装置由一个叶轮组成,叶轮在一根7F导管尖端的自膨胀篮筐中心高速旋转。这种高度灵活的导管能够到达肺动脉树玻璃模型中所有测试的栓子部位。栓子破碎迅速且彻底。流出物中大于10微米的颗粒仅占所治疗栓子重量的约9%。未观察到旋转叶轮与血管壁接触。叶轮-篮筐导管有望成为经皮治疗急性肺栓塞的有用工具。

相似文献

1
New device for percutaneous fragmentation of pulmonary emboli.用于经皮肺栓塞碎解的新装置。
Radiology. 1991 Jul;180(1):135-7. doi: 10.1148/radiology.180.1.2052680.
2
Percutaneous fragmentation of pulmonary emboli in dogs with the impeller-basket catheter.使用叶轮篮式导管对犬类肺栓塞进行经皮碎栓术。
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[The diagnosis and fragmentation therapy of acute massive pulmonary embolism with a rotatable pigtail catheter: experimental studies].
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Massive pulmonary embolism: percutaneous emergency treatment by pigtail rotation catheter.大面积肺栓塞:经皮使用猪尾旋转导管进行紧急治疗
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Evaluation of a newly developed percutaneous thrombectomy basket device in sheep with central pulmonary embolisms.
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Interventional radiology in the treatment of pulmonary embolism.介入放射学在肺栓塞治疗中的应用
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Fragmentation of pulmonary emboli: in vivo experimental evaluation of two high-speed rotating catheters.肺栓塞的碎裂:两种高速旋转导管的体内实验评估
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Hybrid treatment of acute massive pulmonary thromboembolism: mechanical fragmentation with a modified rotating pigtail catheter, local fibrinolytic therapy, and clot aspiration followed by systemic fibrinolytic therapy.急性大面积肺血栓栓塞症的混合治疗:使用改良旋转猪尾导管进行机械破碎、局部纤溶治疗、血栓抽吸,随后进行全身纤溶治疗。
AJR Am J Roentgenol. 2004 Sep;183(3):589-95. doi: 10.2214/ajr.183.3.1830589.

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Recanalization of aged venous thrombotic occlusions with the aid of a rheolytic system: an experimental study.借助溶栓系统实现老年静脉血栓闭塞再通:一项实验研究。
Cardiovasc Intervent Radiol. 1996 Jul-Aug;19(4):255-9. doi: 10.1007/BF02577645.
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Fragmentation of pulmonary emboli: in vivo experimental evaluation of two high-speed rotating catheters.肺栓塞的碎裂:两种高速旋转导管的体内实验评估
Cardiovasc Intervent Radiol. 1996 May-Jun;19(3):165-9.
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Cardiovasc Intervent Radiol. 1993 Jul-Aug;16(4):239-42. doi: 10.1007/BF02602968.
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Evaluation of venous injury caused by a percutaneous mechanical thrombolytic device.经皮机械溶栓装置所致静脉损伤的评估
Cardiovasc Intervent Radiol. 1995 May-Jun;18(3):172-8. doi: 10.1007/BF00204145.