Khosravi Alireza, Mirdamadi Ahmad, Movahed Mohammad Reza
Department of Cardiology, Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Cardiology, Hypertension Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Catheter Cardiovasc Interv. 2018 Jul;92(1):189-192. doi: 10.1002/ccd.26955. Epub 2017 Jun 11.
The use of atrial septal device occluders can lead to device embolization. This major complication can occur due to loose margins, deficient aorta, or thin and floppy posterior rim. Device embolization most often occurs after device release, and retrieval is essential. Many devices, including snare and bioptome, have been utilized for retrieval. However, performing these procedures can be difficult and time consuming. Failure to retrieve the embolized device requires open heart surgery. We report a novel and easy to perform method, "coronary wire trap technique," in the event of retrieval failure using conventionally available devices and snare, thereby preventing open-heart surgery. © 2017 Wiley Periodicals, Inc.
使用房间隔封堵器可能导致封堵器栓塞。这种主要并发症可能由于边缘松动、主动脉缺陷或后缘薄且松软而发生。封堵器栓塞最常发生在封堵器释放后,取出至关重要。许多器械,包括圈套器和活检钳,已被用于取出。然而,执行这些操作可能困难且耗时。未能取出栓塞的封堵器需要进行心脏直视手术。我们报告了一种新颖且易于实施的方法,即“冠状动脉钢丝圈套技术”,用于在使用常规可用器械和圈套器取出失败的情况下,从而避免心脏直视手术。© 2017威利期刊公司