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桡动脉置管后动脉内异物需显微手术取出:病例报告及文献复习

Intra-arterial Foreign Body following Radial Artery Cannulation Requiring Microsurgical Removal: Case Report and Review of the Literature.

作者信息

Feinstein Shawn D, Draeger Reid W

机构信息

Department of Orthopaedics, University of North Carolina, Chapel Hill, North Carolina, United States.

出版信息

J Hand Microsurg. 2020 Oct;12(Suppl 1):S45-S49. doi: 10.1055/s-0038-1676871. Epub 2018 Dec 24.

Abstract

We report the case of a pediatric patient who underwent intra-arterial exploration and removal of foreign body after an arterial catheter cannula inadvertently fractured during removal and a fragment remained within the radial artery. The fragment was visualized using fluoroscopy intraoperatively and was successfully removed from the common digital artery to the index finger where it had migrated. We present the case as a rare complication of an exceedingly common procedure with a timely response to avoid further complication.

摘要

我们报告了一例儿科患者的病例,该患者在拔除动脉导管套管时意外发生断裂,有碎片残留于桡动脉内,随后接受了动脉内探查并取出异物。术中通过荧光透视观察到了碎片,并成功地从其迁移至的示指总动脉中将其取出。我们将该病例作为一种极为常见操作的罕见并发症进行呈现,并及时采取应对措施以避免进一步的并发症。

相似文献

7
An iatrogenic complication of radial artery cannulation.桡动脉插管的医源性并发症。
Acta Anaesthesiol Taiwan. 2010 Sep;48(3):145-7. doi: 10.1016/S1875-4597(10)60047-1.
8
Retained radial artery catheter fragment.桡动脉导管碎片残留。
Oxf Med Case Reports. 2024 Jun 7;2024(6):omae053. doi: 10.1093/omcr/omae053. eCollection 2024 Jun.
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Unusual complication of radial artery cannulation.桡动脉置管的罕见并发症。
Can J Plast Surg. 2003 Winter;11(4):213-5. doi: 10.1177/229255030301100409.

本文引用的文献

2
An iatrogenic complication of radial artery cannulation.桡动脉插管的医源性并发症。
Acta Anaesthesiol Taiwan. 2010 Sep;48(3):145-7. doi: 10.1016/S1875-4597(10)60047-1.
9
Another complication of radial artery cannulation.
Anaesthesia. 1997 Jan;52(1):89-90.
10
An iatrogenic arterial foreign body.医源性动脉异物。
Br J Anaesth. 1996 Sep;77(3):430-1. doi: 10.1093/bja/77.3.430.

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