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球囊扩张血管内治疗联合 Perclose Proglide™ 闭合装置经皮去除动静脉体外膜肺氧合的有效方法。

An Effective Method for Percutaneous Removal of Venoarterial Extracorporeal Membrane Oxygenation by a Combination of Balloon Dilatation in Endovascular Therapy and the Perclose Proglide™ Closure Device.

机构信息

Department of Cardiovascular Medicine, Asahi General Hospital, Chiba, Japan.

Department of Cardiology, Shonan Kamakura General Hospital, Kanagawa, Japan.

出版信息

Ann Vasc Surg. 2021 May;73:532-537. doi: 10.1016/j.avsg.2020.12.028. Epub 2021 Jan 27.

DOI:10.1016/j.avsg.2020.12.028
PMID:33508453
Abstract

BACKGROUND

Venoarterial extracorporeal membrane oxygenation (VA-ECMO) can be undertaken surgically, but there are various problems with this method.

METHODS AND CASE REPORT

We removed the arterial cannula of VA-ECMO percutaneously by combining intravascular balloon dilatation and the Perclose ProGlide™ (PP) closure device in a short amount of time and the extent of bleeding was extremely small. Simultaneously, the venous cannula was removed by suturing and manual compression. We report a series of cases of percutaneous removal of VA-ECMO using intravascular balloon dilatation and PP.

CONCLUSIONS

By using this method, VA-ECMO removal was possible in a very short amount of time with minimal invasiveness.

摘要

背景

静脉-动脉体外膜肺氧合（VA-ECMO）可以通过手术进行，但这种方法存在各种问题。

方法和病例报告

我们通过血管内球囊扩张和 Perclose ProGlide™（PP）闭合装置在短时间内经皮取出 VA-ECMO 的动脉插管，出血极少。同时，通过缝合和手动按压取出静脉插管。我们报告了一系列使用血管内球囊扩张和 PP 经皮取出 VA-ECMO 的病例。

结论

使用这种方法，VA-ECMO 可以在很短的时间内以最小的侵入性取出。

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