三维经食管超声心动图在取出用于封堵人工二尖瓣旁瓣反流的移位血管封堵器中的应用价值
Usefulness of three-dimensional transesophageal echocardiography in retrieval of a dislodged vascular plug used to close paraprosthetic mitral regurgitation.
作者信息
Ahmed Mustafa I, Elguindy Mostafa, Bowen Luis, Alli Oluseun O, Guvenc Tolga, Nanda Navin C
机构信息
Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama.
出版信息
Echocardiography. 2015 Jan;32(1):144-9. doi: 10.1111/echo.12786. Epub 2014 Oct 10.
In this report, we describe a case of periprocedural dislodgement of an Amplatzer Vascular Plug II device during percutaneous closure of severe paraprosthetic mitral regurgitation. The free plug in the left atrium was successfully retrieved percutaneously using a snare inserted through a sheath under live/real time three-dimensional transesophageal echocardiographic guidance. This proved crucial not only in guiding device deployment but also in detecting and helping management of complications.
在本报告中，我们描述了一例在经皮闭合严重人工二尖瓣反流过程中，Amplatzer血管封堵器II型装置发生围手术期移位的病例。通过实时三维经食管超声心动图引导，经鞘管插入圈套器，成功地经皮取出了位于左心房的游离封堵器。这不仅在引导装置植入方面至关重要，而且在检测和协助处理并发症方面也发挥了关键作用。
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