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经胸置入覆膜支架修复起搏器植入过程中鞘管置入所致医源性主动脉损伤。

Thoracic stent graft placement for repair of iatrogenic aortic injury secondary to sheath placement during pacemaker insertion.

作者信息

Feyko Jared T, Musgrove Kelsey, Lyle Cara, d'Audiffret Alexandre

机构信息

Division of Vascular Surgery, West Virginia University Heart and Vascular Institute, Morgantown, WV, USA.

Department of Surgery, West Virginia University, Morgantown, WV, USA.

出版信息

SAGE Open Med Case Rep. 2018 Jan 10;6:2050313X17753779. doi: 10.1177/2050313X17753779. eCollection 2018.

DOI:10.1177/2050313X17753779
PMID:29348919
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5768272/
Abstract

We describe the inadvertent cannulation of the proximal descending thoracic aortic stent with a five French sheath during attempted pacemaker placement in an 88- year-old male. The injury was managed successfully by the percutaneous placement of a thoracic aortic stent graft with good outcome. Our case highlights the feasibility of managing this uncommon injury with this technique.

摘要

我们描述了在一名88岁男性患者尝试植入起搏器的过程中，用一个5F鞘管意外插入降主动脉近端支架的情况。通过经皮置入胸主动脉覆膜支架成功处理了该损伤，效果良好。我们的病例强调了用这种技术处理这种罕见损伤的可行性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2c5/5768272/68241a581e19/10.1177_2050313X17753779-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2c5/5768272/232cd39a2842/10.1177_2050313X17753779-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2c5/5768272/5de0a5e457a7/10.1177_2050313X17753779-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2c5/5768272/68241a581e19/10.1177_2050313X17753779-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2c5/5768272/232cd39a2842/10.1177_2050313X17753779-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2c5/5768272/5de0a5e457a7/10.1177_2050313X17753779-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2c5/5768272/68241a581e19/10.1177_2050313X17753779-fig3.jpg

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本文引用的文献

1
Endovascular stent for iatrogenic penetrating injury of the thoracic aorta.用于胸主动脉医源性穿透伤的血管内支架
Vasc Endovascular Surg. 2014 May;48(4):333-6. doi: 10.1177/1538574413518617. Epub 2014 Jan 9.
2
Endovascular repair of the thoracic aorta.胸主动脉腔内修复术
Semin Intervent Radiol. 2009 Mar;26(1):17-24. doi: 10.1055/s-0029-1208379.
3
Endovascular therapy of thoracic aneurysms: Gore TAG trial results.胸主动脉瘤的血管内治疗：戈尔TAG试验结果。
Semin Vasc Surg. 2006 Mar;19(1):18-24. doi: 10.1053/j.semvascsurg.2005.11.004.