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经皮左心耳封堵术中部分鞘管展开后装置自发性脱出:心导管室的噩梦。

Spontaneous Device Detachment After its Partial Deployment During Left Atrial Appendage Occlusion: A Nightmare in the Cath Lab.

机构信息

Clinical and Interventional Cardiology, Sassari University Hospital, Via Enrico De Nicola 14, 07100 Sassari, Italy.

出版信息

J Invasive Cardiol. 2020 Jun;32(6):E177. doi: 10.25270/jic/19.00388.

Abstract

To date, this is the first description of a spontaneous unscrewing of an Amplatzer Amulet device from its delivery cable while its lobe was partially deployed within the left atrial appendage. In such cases, the device should be pushed forward to complete the deployment and to rescrew the device to the DC in order to prevent an unavoidable cardiac surgery.

摘要

迄今为止,这是首例在 Amplatzer Amulet 装置的叶瓣部分在左心耳内展开的情况下,其从输送鞘管自发性拧开的描述。在这种情况下,应该向前推送装置以完成展开,并将装置重新旋紧到 DC 上,以防止不可避免的心脏手术。

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