Division of Cardiology, West Virginia University, Morgantown, West Virginia.
Cardiovascular Center Frankfurt, Frankfurt, Germany; Anglia Ruskin University, Chelmsford, United Kingdom.
JACC Cardiovasc Interv. 2019 Jan 28;12(2):113-126. doi: 10.1016/j.jcin.2018.08.033.
Device embolization is a rare complication of transcatheter structural heart interventions. Although the majority of device embolizations can be treated in a semielective manner, some are life threatening and require prompt intervention. Awareness of this potential complication, and knowledge of retrieval tools and techniques are essential to the structural interventionalist. This paper offers a succinct review of the incidence, and outcomes of device embolization during common structural heart interventions. It also provides an overview of the essential component of the "percutaneous retrieval toolbox" and suggests a systematic algorithmic approach for the management of device embolization.
器械栓塞是经导管结构性心脏介入治疗的一种罕见并发症。虽然大多数器械栓塞可以半选择性治疗，但有些则危及生命，需要立即介入。结构性介入医生必须了解这种潜在并发症，以及掌握取出器械的工具和技术。本文简要回顾了常见结构性心脏介入治疗过程中器械栓塞的发生率和结局。本文还概述了“经皮取出器械工具箱”的基本组成部分，并提出了器械栓塞处理的系统算法方法。
