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在中心静脉导管插入过程中,导丝意外地栓塞在下腔静脉中,9 个月后经皮成功取出。

Unintentional embolization of a guide wire in the inferior vena cava during central venous catheter insertion successfully retrieved percutaneously 9 months later.

机构信息

Centro Cardiologico "Monzino," IRCCS, Institute of Cardiology, University of Milan, Milan, Italy.

出版信息

Catheter Cardiovasc Interv. 2014 Jan 1;83(1):E109-11. doi: 10.1002/ccd.25104. Epub 2013 Jul 30.

DOI:10.1002/ccd.25104
PMID:23897650
Abstract

Central venous catheters are routinely positioned for hemodynamic monitoring and fluid administration in patients undergoing cardiac surgery, and many well-known complications associated with this manoeuver have been described. Metalic guide wire embolization is a rare complication potentially associated with nonmechanical and mechanical adverse events. The case we report is peculiar as an almost fully endothelialized guide wire was successfully retrieved 9 months after its unintentional embolization in the inferior vena cava.

摘要

中心静脉导管通常用于接受心脏手术的患者的血流动力学监测和液体给药,并且已经描述了与该操作相关的许多众所周知的并发症。金属导丝栓塞是一种罕见的并发症,可能与非机械和机械不良事件有关。我们报告的病例很特殊,因为在无意中栓塞到下腔静脉 9 个月后,几乎完全内皮化的导丝成功地被取回。

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