Engelhardt W, Mühler E, Lang D, von Bernuth G
Klinik für Kinderkardiologie, RWTH Aachen.
Klin Padiatr. 1988 Nov-Dec;200(6):444-7. doi: 10.1055/s-2008-1033750.
We report on our experience in four children with disconnected and embolized venous catheter segments in the pulmonary arteries or the right heart. In three of these, a percutaneous retrieval of the detached catheter via the femoral vene was successful. In one girl, all trials to grasp the catheter segment within the upper pulmonary lobe artery failed. For retrieval, either a snare wire or a Dotter-basket-catheter was used. Additionally, in two cases a tip deflecting guide wire system was proved as helpful for mobilisation of the catheter to better attainable sites of the heart. We conclude that pervenous retrieval of embolized catheter segments in children is possible and should be tried.
我们报告了4例肺动脉或右心内静脉导管节段分离并发生栓塞的儿童病例。其中3例经皮通过股静脉成功取出分离的导管。在1名女孩中，所有尝试抓取上肺叶动脉内导管节段的操作均失败。取出导管时，使用了圈套钢丝或Dotter篮状导管。此外，在2例病例中，尖端可弯曲导丝系统被证明有助于将导管移动到心脏更好触及的部位。我们得出结论，经静脉取出儿童栓塞的导管节段是可行的，应该尝试。
