经皮取出一名药物滥用者右心室微小针状骨折碎片
Percutaneous Removal of a Tiny Needle Fracture From the Right Ventricle of the Heart in a Drug Abuser.
作者信息
Bompotis Georgios, Karkanis Georgios, Chatziavramidis Angelos, Konstantinidis Iordanis, Dokopoulos Petros, Lazaridis Ioannis, Pyriochos Panagiotis
机构信息
1 Department of Interventional Cardiology, Papageorgiou General Hospital, Thessaloniki, Greece.
2 Department of Otolaryngology, Papageorgiou General Hospital, Thessaloniki, Greece.
出版信息
Vasc Endovascular Surg. 2016 Nov;50(8):575-578. doi: 10.1177/1538574416680979.
PURPOSE
To demonstrate the successful percutaneous removal of a tiny needle fracture from the heart with the use of a guide wire with a magnet at its distal end and two snares through both femoral veins.
CASE REPORT
We report a rare case of a tiny needle fracture in the apex of the right ventricle of the heart in a drug abuser after its migration from the neck through the lumen of the right internal jugular vein. The procedure of the percutaneous approach and removal of this tiny foreign body was extremely difficult and dangerous due to its location and tiny size.
CONCLUSION
This percutaneous technique for the removal of a tiny foreign body from the heart was proven to be both effective and safe for the patient, and it provides a good therapeutic option for removal of intracardiac foreign bodies.
目的
演示使用远端带有磁体的导丝和通过双侧股静脉置入的两个圈套器，经皮成功取出心脏内微小针状异物。
病例报告
我们报告了1例罕见病例，一名药物滥用者右心室心尖部出现微小针状异物，该异物从颈部经右颈内静脉管腔迁移至此。由于该异物的位置和微小尺寸，经皮取出这一微小异物的操作极其困难且危险。
结论
这种经皮从心脏取出微小异物的技术已被证明对患者有效且安全，为取出心内异物提供了一种良好的治疗选择。
Zotero 插件