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困难,但并非不可能——取出栓塞至左心房的大型房间隔封堵器

Tough, but not impossible - Retrieval of large atrial septal occluder devices embolized to left atrium.

作者信息

Ramalingam Rangaraj, Patil Shivanand, Setty Natraj, Kharge Jayashree, Puttegowda Beeresha, Rachaiah Jayasheelan Mambally, Manjunath Cholenahally Nanjappa

机构信息

Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bengaluru, Karnataka, India.

出版信息

Interv Med Appl Sci. 2017 Mar;9(1):42-46. doi: 10.1556/1646.9.2017.1.03.

Abstract

Atrial septal defect (ASD) is a congenital heart defect that is being increasingly treated using percutaneous interventions. However, these techniques are not devoid of complications. One such complication is device embolization. Removal of such closure device poses tremendous risk and consequent complications both by percutaneous retrieval and surgical removal. Herein, we present two cases of ASDs that were closed using atrial septal occluder, but the devices were subsequently embolized into left atrium. These devices were then percutaneously retrieved without any further complication or injury.

摘要

房间隔缺损(ASD)是一种先天性心脏缺陷,越来越多地采用经皮介入治疗。然而,这些技术并非没有并发症。其中一种并发症是装置栓塞。取出这种封堵装置无论是通过经皮取出还是手术取出都存在巨大风险及相应并发症。在此,我们报告两例使用房间隔封堵器闭合的ASD病例,但装置随后栓塞至左心房。然后经皮取出这些装置,未出现任何进一步的并发症或损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e2e/5598121/200f7f8d2f1b/imas-09-01-42_f001.jpg

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