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自发性动脉导管断裂与栓塞:意外并发症。

Spontaneous arterial catheter fracture and embolisation: Unpredicted complication.

作者信息

Kale Suresh Babu, Ramalingam Senthilkumar

机构信息

Department of Cardiothoracic Surgery, Meenakshi Hospital, Thanjavur, Tamil Nadu, India.

出版信息

Indian J Anaesth. 2017 Jun;61(6):505-507. doi: 10.4103/ija.IJA_181_17.

Abstract

Arterial cannulation is a common procedure in the care and management of critically ill patients. Blood pressure measurement, arterial blood sampling and cardiac output determinations are a few primary reasons for arterial cannulation. This invasive catheter placement also imposes certain risks and clinical management problems like bleeding, thrombosis and hematoma formation. Fracture and embolisation of arterial catheters placed in the femoral region is a rare and serious complication that may result in arterial occlusion and thrombosis. Percutaneous retrieval of the foreign body is frequently reported to be the technique of choice, leaving the surgical option to a small group. We report two consecutive cases of catheter fracture that was successfully retrieved by a combination of surgery and balloon tip retrieval device.

摘要

动脉插管是危重症患者护理和管理中的常见操作。血压测量、动脉血采样和心输出量测定是动脉插管的一些主要原因。这种侵入性导管置入也会带来某些风险和临床管理问题,如出血、血栓形成和血肿。置于股部的动脉导管发生断裂和栓塞是一种罕见但严重的并发症,可能导致动脉闭塞和血栓形成。经皮取出异物通常被报道为首选技术,而手术选择仅适用于少数情况。我们报告了两例连续的导管断裂病例,通过手术和球囊尖端取出装置联合成功取出。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f959/5474921/0af600e93d46/IJA-61-505-g001.jpg

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