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体外膜肺氧合脱管期间床旁血管内超声引导下纤维蛋白鞘球囊捣碎术及下腔静脉滤器置入术

Bedside intravascular ultrasound-guided fibrin sheath balloon maceration and inferior vena cava filter placement during extracorporeal membranous oxygenation decannulation.

作者信息

Sherk William M, Khaja Minhaj S, Jo Alexandria, Marko Xhorlina, Williams David M

机构信息

Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health Systems, Ann Arbor, Mich.

出版信息

J Vasc Surg Cases Innov Tech. 2020 Feb 12;6(1):56-58. doi: 10.1016/j.jvscit.2019.11.002. eCollection 2020 Mar.

DOI:10.1016/j.jvscit.2019.11.002
PMID:32072089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7016338/
Abstract

Inferior vena cava filter placement during extracorporeal membranous oxygenation decannulation has been described as a technique to prevent potentially lethal pulmonary embolism in this critically ill population. With long-standing extracorporeal membranous oxygenation cannulae, venous fibrin sheaths may develop, which may predispose to filter maldeployment or inadequate embolus filtration. This report describes the use of a balloon catheter to disrupt a fibrin sheath at patient bedside using intravascular ultrasound guidance to facilitate inferior vena cava filter placement.

摘要

在体外膜肺氧合脱管期间放置下腔静脉滤器，已被描述为一种在这类危重症人群中预防潜在致命性肺栓塞的技术。长期使用体外膜肺氧合插管可能会形成静脉纤维蛋白鞘，这可能会导致滤器部署不当或栓子过滤不充分。本报告描述了在血管内超声引导下，在患者床边使用球囊导管破坏纤维蛋白鞘以促进下腔静脉滤器放置的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7225/7016338/627b49abfd24/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7225/7016338/83db17f0a6ff/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7225/7016338/1e86711aee2a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7225/7016338/9584b5f02877/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7225/7016338/627b49abfd24/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7225/7016338/83db17f0a6ff/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7225/7016338/1e86711aee2a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7225/7016338/9584b5f02877/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7225/7016338/627b49abfd24/gr4.jpg

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Ann Intensive Care. 2016 Dec;6(1):66. doi: 10.1186/s13613-016-0172-2. Epub 2016 Jul 19.
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Prevalence of Venous Thrombosis Following Venovenous Extracorporeal Membrane Oxygenation in Patients With Severe Respiratory Failure.严重呼吸衰竭患者行静脉-静脉体外膜肺氧合后静脉血栓形成的发生率。
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