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使用Flowtriever对右心房血栓和大面积肺栓塞进行急诊机械取栓术。

Emergent mechanical thrombectomy for right atrial clot and massive pulmonary embolism using flowtriever.

作者信息

Bayona Molano Maria Del Pilar, Salsamendi Jason, Mani Naganathan

机构信息

Department of Interventional Radiology UT Southwestern Medical Center United States.

Department of Interventional Radiology Orange CA USA.

出版信息

Clin Case Rep. 2021 Jan 21;9(3):1241-1246. doi: 10.1002/ccr3.3739. eCollection 2021 Mar.

DOI:10.1002/ccr3.3739
PMID:33768819
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7981718/
Abstract

This case demonstrated a feasible alternative to treat "clot in transit" associated with pulmonary embolism using FlowTriever Inari device. The pre-existing approved AngioVac device requires extracorporeal circulation support and more invasiveness. FlowTriever permits mechanical thrombectomy with versatile approach without additional extracorporeal perfusion setting. Additional studies are required to reach a definitive conclusion.

摘要

该病例展示了一种使用FlowTriever Inari装置治疗与肺栓塞相关的“移动性血栓”的可行替代方案。先前已获批的AngioVac装置需要体外循环支持且侵入性更强。FlowTriever允许采用多种方法进行机械血栓切除术，无需额外的体外灌注设置。需要更多研究才能得出明确结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28e7/7981718/ca835ee493cc/CCR3-9-1241-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28e7/7981718/9fc17b3375b1/CCR3-9-1241-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28e7/7981718/79894492222c/CCR3-9-1241-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28e7/7981718/8bb9e5dea3c4/CCR3-9-1241-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28e7/7981718/9d5f7a681aba/CCR3-9-1241-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28e7/7981718/3b6dc5213833/CCR3-9-1241-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28e7/7981718/ca835ee493cc/CCR3-9-1241-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28e7/7981718/9fc17b3375b1/CCR3-9-1241-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28e7/7981718/79894492222c/CCR3-9-1241-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28e7/7981718/8bb9e5dea3c4/CCR3-9-1241-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28e7/7981718/9d5f7a681aba/CCR3-9-1241-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28e7/7981718/3b6dc5213833/CCR3-9-1241-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28e7/7981718/ca835ee493cc/CCR3-9-1241-g003.jpg

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本文引用的文献

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EJVES Short Rep. 2019 Nov 7;45:22-25. doi: 10.1016/j.ejvssr.2019.10.001. eCollection 2019.
2
2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS).2019年欧洲心脏病学会（ESC）与欧洲呼吸学会（ERS）合作制定的急性肺栓塞诊断和管理指南。
Eur Heart J. 2020 Jan 21;41(4):543-603. doi: 10.1093/eurheartj/ehz405.
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A Prospective, Single-Arm, Multicenter Trial of Catheter-Directed Mechanical Thrombectomy for Intermediate-Risk Acute Pulmonary Embolism: The FLARE Study.
Thrombus in transit associated with fatal pulmonary thromboembolism in an elderly Ethiopian man following a surgical procedure: A case report.一名埃塞俄比亚老年男性手术后发生致命性肺血栓栓塞伴移行血栓：病例报告
Clin Case Rep. 2024 Aug 8;12(8):e9293. doi: 10.1002/ccr3.9293. eCollection 2024 Aug.
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Right atrial thrombus leading to pulmonary embolism in a patient with dermatomyositis and COVID-19 managed with FlowTriever device thrombectomy.皮肌炎合并 COVID-19 患者因右心房血栓导致肺栓塞，采用 FlowTriever 装置血栓切除术治疗。
BMJ Case Rep. 2023 Nov 9;16(11):e255385. doi: 10.1136/bcr-2023-255385.
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前瞻性、单臂、多中心导管直接机械血栓切除术治疗中危急性肺栓塞：FLARE 研究。
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