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经皮血管内取出栓塞至肺血管系统的避孕装置的抽吸技术。

Aspiration technique for percutaneous endovascular retrieval of contraceptive device embolized to the pulmonary vasculature.

作者信息

Carraro do Nascimento Vinicius, De Villiers Laetitia, Chia Ghim Song, Rice Hal

机构信息

Department of Interventional and Interventional Neuroradiology, Gold Coast University Hospital, 1 Hospital Boulevard, Southport, 4215, Queensland, Australia.

出版信息

Radiol Case Rep. 2020 Dec 24;16(3):571-574. doi: 10.1016/j.radcr.2020.12.049. eCollection 2021 Mar.

DOI:10.1016/j.radcr.2020.12.049
PMID:33384758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7772520/
Abstract

Contraceptive implant migration into the pulmonary circulation is an uncommon, but potentially serious complication. We describe an "aspiration" technique for percutaneous retrieval of a contraceptive implant from a subsegmental pulmonary artery, using a Penumbra Neuron MAX 088 guiding catheter and a Merit Medical VacLok Vacuum Pressure Syringe, as an alternative to the previously described snare technique. Our patient had an uneventful recovery and was discharged home on the same day.

摘要

避孕植入物迁移至肺循环是一种罕见但可能严重的并发症。我们描述了一种“抽吸”技术,使用Penumbra Neuron MAX 088引导导管和Merit Medical VacLok真空压力注射器,经皮从亚段肺动脉取出避孕植入物,作为先前所述圈套技术的替代方法。我们的患者恢复顺利,当天出院回家。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d72f/7772520/ad38c9cf45b9/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d72f/7772520/a84db8d642fa/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d72f/7772520/2dbd003dcb56/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d72f/7772520/9fbfa516351d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d72f/7772520/01607d3d01f8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d72f/7772520/ad38c9cf45b9/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d72f/7772520/a84db8d642fa/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d72f/7772520/2dbd003dcb56/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d72f/7772520/9fbfa516351d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d72f/7772520/01607d3d01f8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d72f/7772520/ad38c9cf45b9/gr5.jpg

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本文引用的文献

1
Endovascular retrieval of contraceptive implant embolized to pulmonary artery.经血管内取出栓塞至肺动脉的避孕植入物。
Radiol Case Rep. 2018 Sep 26;13(6):1285-1288. doi: 10.1016/j.radcr.2018.08.034. eCollection 2018 Dec.
2
Migration of a contraceptive subcutaneous device into the pulmonary artery. Report of a case.避孕皮下装置迁移至肺动脉。病例报告。
Case Rep Womens Health. 2015 Sep 24;8:6-8. doi: 10.1016/j.crwh.2015.09.002. eCollection 2015 Oct.
3
Embolization of a contraceptive implant into the pulmonary vasculature in an adolescent female.
少女的避孕植入物栓塞至肺血管
Am J Emerg Med. 2018 Jun;36(6):1122.e1-1122.e2. doi: 10.1016/j.ajem.2018.03.004. Epub 2018 Mar 3.
4
Migration of a Nexplanon contraceptive implant to the pulmonary artery.一枚皮下埋植避孕剂(依伴侬)迁移至肺动脉。
BMJ Case Rep. 2017 May 12;2017:bcr-2017-219259. doi: 10.1136/bcr-2017-219259.
5
Endovascular Retrieval of Nexplanon from the Distal Pulmonary Artery.经血管内技术从肺动脉远端取出皮下埋植避孕剂(依伴侬)。
J Vasc Interv Radiol. 2017 Mar;28(3):466-467. doi: 10.1016/j.jvir.2016.09.011.
6
Contraceptive Implant Embolism Into the Pulmonary Artery: Thoracoscopic Retrieval.避孕植入物栓塞至肺动脉:胸腔镜下取出
Ann Thorac Surg. 2017 Mar;103(3):e271-e272. doi: 10.1016/j.athoracsur.2016.08.094.
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Subdermal Contraceptive Implant Embolism to a Pulmonary Artery.皮下避孕植入物肺动脉栓塞
Ann Thorac Surg. 2015 Jun;99(6):2254-5. doi: 10.1016/j.athoracsur.2014.12.017.
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Intravascular pulmonary migration of a subdermal contraceptive implant.皮下避孕植入物的血管内肺迁移。
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10
Migration of Implanon.依伴侬(Implanon)移位
J Fam Plann Reprod Health Care. 2006 Jul;32(3):157-9. doi: 10.1783/147118906777888413.