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血管内异物的复杂血管内取出术。

Complex endovascular retrieval of an intravascular foreign body.

作者信息

Kim Tanner I, Kostiuk Valentyna, Baumann Dirk, Aboian Edouard

机构信息

Division of Vascular Surgery, Department of Surgery, Yale School of Medicine, New Haven, Conn.

Division of Vascular and General Surgery, Palo Alto Medical Foundation, Burlingame, Calif.

出版信息

J Vasc Surg Cases Innov Tech. 2021 Apr 24;7(2):361-363. doi: 10.1016/j.jvscit.2021.03.014. eCollection 2021 Jun.

DOI:10.1016/j.jvscit.2021.03.014
PMID:34095642
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8166638/
Abstract

We report a case of a 54-year-old man who developed bilateral multifocal pneumonia as a result of septic thromboembolization from an ingested ballpoint pen that migrated through the gastrointestinal system and lodged in the inferior vena cava. The ballpoint pen was removed from the inferior vena cava with a complex endovascular approach using internal jugular and common femoral vein access with the combination of a snare device and atraumatic laparoscopic grasper. He was also found to have a duodenal perforation requiring primary repair in a staged fashion after endovascular removal of the ballpoint pen.

摘要

我们报告了一例54岁男性病例，该患者因吞食的圆珠笔经胃肠道系统迁移并嵌顿在下腔静脉，导致双侧多灶性肺炎，继发感染性血栓栓塞。通过复杂的血管内入路，利用颈内静脉和股总静脉通路，结合圈套器和无创腹腔镜抓钳，从下腔静脉取出了圆珠笔。在血管内取出圆珠笔后，还发现患者有十二指肠穿孔，需要分阶段进行一期修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0b2/8166638/c9698b46e14f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0b2/8166638/876b8f3917d0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0b2/8166638/98e05fc9413e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0b2/8166638/c9698b46e14f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0b2/8166638/876b8f3917d0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0b2/8166638/98e05fc9413e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0b2/8166638/c9698b46e14f/gr3.jpg

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本文引用的文献

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Aortic injury caused by esophageal foreign body-case reports of 3 patients and literature review.食管异物致主动脉损伤——3例病例报告及文献复习
Medicine (Baltimore). 2020 Jun 26;99(26):e20849. doi: 10.1097/MD.0000000000020849.
2
Indications and Outcomes of Open Inferior Vena Cava Filter Removal.开放性下腔静脉滤器取出术的适应证与结局
Ann Vasc Surg. 2018 Jan;46:205.e5-205.e11. doi: 10.1016/j.avsg.2017.05.038. Epub 2017 Jun 8.
3
Proposed management protocol for ingested esophageal foreign body and aortoesophageal fistula: a single-center experience.
摄入性食管异物及主动脉食管瘘的拟议管理方案：单中心经验
Int J Clin Exp Med. 2015 Jan 15;8(1):607-15. eCollection 2015.
4
Fishbone perforation causing duodenocaval fistula and caval thrombus.鱼骨穿孔导致十二指肠腔静脉瘘和腔静脉血栓形成。
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5
Endovascular repair in penetrating aortoesophageal foreign body injury.血管内修复治疗穿透性主动脉-食管异物损伤。
Ann Thorac Surg. 2013 Oct;96(4):1457-1459. doi: 10.1016/j.athoracsur.2012.12.046.
6
Endovascular foreign body retrieval.血管内异物取出术。
J Vasc Surg. 2013 Feb;57(2):459-63. doi: 10.1016/j.jvs.2012.01.092. Epub 2012 Oct 13.
7
Successful percutaneous thrombectomy of an infected vena-caval thrombus due to a toothpick.成功经皮取栓治疗牙签导致的感染性腔静脉血栓
J Vasc Surg. 2011 Nov;54(5):1498-500. doi: 10.1016/j.jvs.2011.05.009. Epub 2011 Jul 23.
8
Aortoesophageal Fistula caused by a Foreign Body.异物导致的主动脉食管瘘
Sultan Qaboos Univ Med J. 2010 Aug;10(2):266-8. Epub 2010 Jul 19.
9
Retrograde migration and endovascular retrieval of a venous bullet embolus.静脉子弹栓子逆行迁移和血管内取出。
J Vasc Surg. 2011 Apr;53(4):1113-5. doi: 10.1016/j.jvs.2010.11.046. Epub 2011 Jan 7.
10
Duodenocaval fistula as a result of a fish bone perforation.十二指肠-肝静脉瘘是由鱼刺穿孔引起的。
J Vasc Surg. 2010 May;51(5):1276-8. doi: 10.1016/j.jvs.2009.12.049. Epub 2010 Mar 11.