三维打印改良三腔喂养管治疗 Hem-o-Lok 夹所致气管食管瘘
A Hem-o-Lok-Induced Tracheoesophageal Fistula Cured by Temporary Airway Stenting Modified With Three-Dimensional Printing.
机构信息
Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Department of Interventional Radiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
出版信息
Ann Thorac Surg. 2018 Oct;106(4):e219-e221. doi: 10.1016/j.athoracsur.2018.04.037. Epub 2018 May 12.
We present the case of a fistula between the trachea and the esophagogastric anastomosis in a 58-year-old man after esophagectomy. A Hem-o-Lok clip (Teleflex, Morrisville, NC) used at the time to ligate the azygos vein was discovered by esophagoscopy and bronchoscopy to be eroding into both structures. A covered self-expandable Y-shaped metallic tracheobronchial stent was customized with a three-dimensional printed airway model and inserted in place with endoscopic injection of fibrin glue to the anastomotic site. The stent was withdrawn 64 days after implantation, with complete healing of the fistula.
我们报告了一例 58 岁男性患者在食管切除术后发生气管与食管胃吻合口瘘。食管镜和支气管镜检查发现，当时用于结扎奇静脉的 Hem-o-Lok 夹（Teleflex，Morrisville，NC）侵蚀了这两个结构。定制了一个带有三维打印气道模型的覆盖自膨式 Y 形金属气管支气管支架，并通过内镜注射纤维蛋白胶将其插入吻合部位。支架在植入后 64 天被取出，瘘口完全愈合。
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