成功晚期取出支气管内线圈。

Successful Late Removal of Endobronchial Coils.

作者信息

Dutau Hervé, Bourru David, Guinde Julien, Laroumagne Sophie, Deslée Gaëtan, Astoul Philippe

机构信息

Department of Thoracic Oncology, Pleural Diseases, and Interventional Pulmonology, North University Hospital, Marseille, France.

出版信息

Chest. 2016 Dec;150(6):e143-e145. doi: 10.1016/j.chest.2016.03.026.

DOI:10.1016/j.chest.2016.03.026

PMID:27938769

Abstract

Although endobronchial coils for the treatment of severe emphysema are associated with an acceptable safety profile, adverse events such as pneumothorax and thoracic pain may occur. The coils are indicated as a permanent implant and are deemed very difficult to remove. We describe the first successful removal of two coils 10 months after placement in a patient who experienced persistent thoracic pain. This case report highlights that very distal (subpleural) coil placement may induce pneumothorax and subsequent thoracic pain and that nonsurgical removal of coils up to 10 months after implantation is feasible.

摘要

尽管用于治疗严重肺气肿的支气管内线圈具有可接受的安全性，但仍可能发生气胸和胸痛等不良事件。这些线圈被指定为永久性植入物，并且被认为很难取出。我们描述了首例在植入后10个月成功取出两枚线圈的病例，该患者持续胸痛。本病例报告强调，非常远端（胸膜下）的线圈放置可能会诱发气胸和随后的胸痛，并且在植入后长达10个月非手术取出线圈是可行的。