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采用新技术为一名体重970克的新生儿取出脐静脉导管。

Umbilical venous catheter retrieval in a 970 gm neonate by a novel technique.

作者信息

Nigam Arima, Trehan Vijay, Mehta Vimal

机构信息

Department of Cardiology, GB Pant Hospital, New Delhi, India.

出版信息

Ann Pediatr Cardiol. 2014 Jan;7(1):52-4. doi: 10.4103/0974-2069.126559.

DOI:10.4103/0974-2069.126559
PMID:24701088
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3959064/
Abstract

Umbilical venous catheterization is a necessity for the advanced care of very low birth weight neonates. Even with utmost care, few complications cannot be avoided. Fractured and retained catheter fragments are one of them. Endoluminal retrieval of such a catheter is an uncommon and challenging procedure for the interventionist. The only alternative is an open exploration of these patients. Various techniques have been described for retrieval of such foreign bodies. We describe a novel technique for percutaneous retrieval of an embolized umbilical venous catheter from a very low birth weight neonate.

摘要

脐静脉置管对于极低出生体重新生儿的高级护理是必要的。即便极其小心，仍难以避免一些并发症。导管断裂并残留碎片就是其中之一。对于介入医生而言，腔内取出此类导管是一种罕见且具有挑战性的操作。唯一的替代方法是对这些患儿进行开放性探查。已经描述了多种取出此类异物的技术。我们描述了一种从极低出生体重新生儿经皮取出栓塞性脐静脉导管的新技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bd8/3959064/a510ca8d4b55/APC-7-52-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bd8/3959064/2a87cf5559d9/APC-7-52-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bd8/3959064/0ea985b19089/APC-7-52-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bd8/3959064/47972adc782e/APC-7-52-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bd8/3959064/a510ca8d4b55/APC-7-52-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bd8/3959064/2a87cf5559d9/APC-7-52-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bd8/3959064/0ea985b19089/APC-7-52-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bd8/3959064/47972adc782e/APC-7-52-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bd8/3959064/a510ca8d4b55/APC-7-52-g004.jpg

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引用本文的文献

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Surgical retrieval of transected umbilical vein catheter in an extremely preterm neonate.经手术从极早产儿体内取出切断的脐静脉导管。
BMJ Case Rep. 2023 Dec 21;16(12):e257355. doi: 10.1136/bcr-2023-257355.
2
Retrieval of a retained umbilical vein catheter at 6 months.6 个月时取出遗留的脐静脉导管。
BMJ Case Rep. 2023 Nov 14;16(11):e254380. doi: 10.1136/bcr-2022-254380.
3
A case report of embolized umbilical venous catheter retrieval from the heart via femoral access in 660 g premature neonate.一例通过股动脉途径从660克早产新生儿心脏取出栓塞脐静脉导管的病例报告。

本文引用的文献

1
Transcatheter retrieval and repositioning of embolized stent from the right ventricle in an infant.婴儿右心室内栓塞支架的经导管取出与重新定位
Tex Heart Inst J. 2012;39(5):639-43.
2
Retrieval devices and techniques for the extraction of intravascular foreign bodies in the coronary arteries.冠状动脉内血管异物取出的 Retrieval 装置及技术。 （注：这里“Retrieval”直接保留英文，因为可能是特定的专业名称或品牌等，没有合适的中文对应词，在医学文献翻译中这种情况有时会保留英文原名）
J Interv Cardiol. 2010 Jun;23(3):271-6. doi: 10.1111/j.1540-8183.2010.00560.x.
3
Endoluminal retrieval of a dislodged umbilical vein catheter--a case report.
Radiol Case Rep. 2019 Sep 25;14(11):1415-1419. doi: 10.1016/j.radcr.2019.09.006. eCollection 2019 Nov.
经腔内取出移位的脐静脉导管——病例报告
Vasc Endovascular Surg. 2004 Nov-Dec;38(6):583-6. doi: 10.1177/153857440403800615.
4
Successful percutaneous retrieval of an intracardiac catheter fragment in an 800-g premature infant.
J Perinatol. 2003 Jan;23(1):67-8. doi: 10.1038/sj.jp.7210822.
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Surgical retrieval of an embolized central venous catheter in a premature baby.
Ann Thorac Surg. 1998 Sep;66(3):938-9. doi: 10.1016/s0003-4975(98)00561-x.
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Percutaneous retrieval of broken silastic catheter from the left atrium in a critically Ill premature infant.
Cathet Cardiovasc Diagn. 1997 Dec;42(4):409-11. doi: 10.1002/(sici)1097-0304(199712)42:4<409::aid-ccd15>3.0.co;2-e.
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Nonsurgical retrieval of embolized umbilical catheters in premature infants.
J Perinatol. 1997 Mar-Apr;17(2):143-7.
8
Percutaneous retrieval of a broken umbilical catheter from left atrium in a premature newborn.经皮取出早产儿左心房内断裂的脐静脉导管
Cathet Cardiovasc Diagn. 1995 Nov;36(3):265-8. doi: 10.1002/ccd.1810360317.
9
Retention of percutaneous venous catheter in the newborn: a report of three cases.新生儿经皮静脉导管的留置：三例报告
Am J Perinatol. 1995 Jan;12(1):53-4. doi: 10.1055/s-2007-994401.
10
Unique use of a tip-deflecting guide wire in removing a catheter embolus from an infant.在从婴儿体内取出导管栓子时使用尖端可偏转导丝的独特方法。
Pediatr Cardiol. 1987;8(2):117-9. doi: 10.1007/BF02079466.