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上腔静脉支架置入术后急性血流动力学衰竭:一例报告

Acute Hemodynamic Compromise following Superior Vena Cava Stent Placement: A Case Report.

作者信息

Anand Vaibhav, Maybody Majid, Fischer Gregory W, Dabo-Trubelja Anahita

机构信息

Dept of Anesthesiology and Critical Care, Memorial Sloan Kettering Cancer Center, New York, NY 10065.

Interventional Radiology Training Program, Memorial Sloan Kettering Cancer Center, New York, NY 10065.

出版信息

SN Compr Clin Med. 2020 Dec;2(12):2953-2956. doi: 10.1007/s42399-020-00629-x. Epub 2020 Nov 6.

Abstract

Symptomatic relief of Superior Vena Cava (SVC) syndrome caused by tumor obstruction is achieved by the placement of a percutaneous superior vena cava stent. Complications are rare. Even more uncommon is acute hemodynamic compromise from acute hemopericardium during placement of an SVC stent. Point of Care Ultrasound (POCUS) in the Interventional Radiology Suite (IR) suite allows for rapid diagnosis and guidance of pericardial drainage and hemodynamic management.

摘要

经皮置入上腔静脉支架可缓解肿瘤阻塞所致的上腔静脉(SVC)综合征的症状。并发症很少见。更罕见的是在置入SVC支架过程中因急性心包积血导致急性血流动力学障碍。介入放射科(IR)诊室的床旁超声(POCUS)可实现心包引流及血流动力学管理的快速诊断和引导。

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