Zvavanjanja R C
Department of Diagnostic and Interventional Imaging, University of Texas Health Science Center at Houston, McGovern Medical School, 6431 Fannin St, MSB 2.132, Houston, TX 77030 USA.
CVIR Endovasc. 2018;1(1):1. doi: 10.1186/s42155-018-0007-3. Epub 2018 Jul 10.
With improving and aggressive endovascular venous and dialysis techniques there is increasing use of stent grafts with different platforms available on the market. Inappropriately sized stents may displace and potentially end up in the heart or lungs as potential dangerous foreign bodies. There is single published case of successful viabahn stent graft retrieval from the pulmonary circulation.
We present a patient who had successful safe percutaneous retrieval of a migrated Viabahn stent from a segmental Pulmonary artery and describe a different novel safe technique of successful stent graft retrieval from the pulmonary artery with very low risk to potential damage to the cardiac valve complex.
This case report demonstrates that Viabahn stent grafts can be safely retrieved from the pulmonary arterial system using this endovascular technique that will significantly reduce the risk of damage to the cardiac valve complex therefore avoiding potential complex surgery.
随着血管内静脉和透析技术的不断改进与积极应用，市场上有不同平台的支架移植物的使用越来越多。尺寸不合适的支架可能移位，最终可能作为潜在的危险异物进入心脏或肺部。目前仅有一例关于成功从肺循环中取出维派博（Viabahn）支架移植物的病例报道。
我们报告了一名患者，其成功地经皮安全取出了一枚从节段性肺动脉迁移的维派博支架，并描述了一种不同的新颖安全技术，该技术可成功从肺动脉中取出支架移植物，对心脏瓣膜复合体造成潜在损伤的风险极低。
本病例报告表明，使用这种血管内技术可以安全地从肺动脉系统中取出维派博支架移植物，这将显著降低心脏瓣膜复合体受损的风险，从而避免潜在的复杂手术。
