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搜索与救援:医源性血管内异物的病例报告与讨论。

Search and Rescue: A Case Report and Discussion of Iatrogenic Intravascular Foreign Bodies.

机构信息

Department of Radiology, Allegheny General Hospital, Pittsburgh, PA.

Department of Radiology, Allegheny General Hospital, Pittsburgh, PA; Department of Radiology, MedStar Georgetown University Hospital, Washington, DC.

出版信息

Curr Probl Diagn Radiol. 2021 Mar-Apr;50(2):268-273. doi: 10.1067/j.cpradiol.2018.07.011. Epub 2018 Jul 21.

Abstract

The following case report demonstrates an unusual case of a patient with multiple intravascular iatrogenic foreign bodies. An inferior vena cava filter was identified in the abdominal aorta, and multiple hydrophilic wire fragments were found in the pulmonary circulation. After describing the management of this patient, we discuss how radiologists can best distinguish between various intravascular iatrogenic foreign bodies. Determining the type of catheter or wire within the patient can not only establish the chronicity of the finding, but can determine whether or not endovascular retrieval is recommended, and by what method. It is of the utmost importance that providers be able to distinguish between various intravascular devices in order to prevent ongoing or further harm to the patient.

摘要

以下病例报告展示了一例患者体内存在多种医源性血管内异物的罕见情况。在腹主动脉中发现了下腔静脉滤器,并且在肺循环中发现了多个亲水金属丝碎片。在描述了对该患者的处理方法后,我们讨论了放射科医生如何最好地区分各种医源性血管内异物。确定患者体内导管或金属丝的类型不仅可以确定发现的慢性程度,还可以确定是否建议进行血管内取回,以及通过何种方法。至关重要的是,提供者能够区分各种血管内装置,以防止对患者造成持续或进一步的伤害。

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