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本文引用的文献

1
Rupture of the NovaFlex balloon during transcatheter aortic valve implantation and subsequent dissection of the right iliac arteries.经导管主动脉瓣植入术中 NovaFlex 球囊破裂，随后右髂动脉夹层。
Eur J Cardiothorac Surg. 2013 Feb;43(2):437-8. doi: 10.1093/ejcts/ezs508. Epub 2012 Sep 26.
2
Percutaneous management of vascular complications in patients undergoing transcatheter aortic valve implantation.经导管主动脉瓣植入术后血管并发症的经皮处理。
JACC Cardiovasc Interv. 2012 May;5(5):515-524. doi: 10.1016/j.jcin.2012.01.021.

经皮处理RetroFlex 3球囊破裂及爱德华兹Sapien输送系统分离。

Percutaneous management of RetroFlex 3 balloon rupture and separation of the Edwards Sapien delivery system.

作者信息

Green Kelly D, Waked Alain, Majeed Usman, Fudim Marat, Robbins Mark A, Crenshaw Marshall, Zhao David

出版信息

Tex Heart Inst J. 2014 Dec 1;41(6):641-4. doi: 10.14503/THIJ-13-3447. eCollection 2014 Dec.

DOI:10.14503/THIJ-13-3447
PMID:25593532
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4251339/
Abstract

We report the case of an 85-year-old woman with severe aortic stenosis who underwent transcatheter aortic valve replacement with use of the Edwards Sapien(®) valve system. The procedure was complicated by rupture of the valve-deployment balloon, with separation and retention of the nose cone of the RetroFlex 3(®) delivery system in the iliac artery. Our endovascular retrieval of the equipment was successful, and we achieved access-site hemostasis by deploying a covered stent. To our knowledge, this is the first report of the endovascular retrieval of a malfunctioning delivery system during transcatheter aortic valve replacement.

摘要

我们报告了一例85岁重度主动脉瓣狭窄女性患者，其接受了经导管主动脉瓣置换术，使用的是爱德华兹Sapien（®）瓣膜系统。该手术出现了瓣膜输送球囊破裂的并发症，RetroFlex 3（®）输送系统的鼻锥在髂动脉中分离并滞留。我们通过血管内方法成功取出了该设备，并通过置入覆膜支架实现了穿刺部位止血。据我们所知，这是经导管主动脉瓣置换术中血管内取出故障输送系统的首例报告。