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使用圈套导管从二尖瓣瓣下装置取出被困的导管安装式轴流泵

Retrieval of Entrapped Catheter-Mounted Axial Flow Pump From Mitral Subvalvular Apparatus Using a Snare Catheter.

作者信息

Elsherif Ahmed, Nadir Adnan, Ludman Peter F, Khan Sohail Q

机构信息

Department of Interventional Cardiology, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.

Cardiology Department, Faculty of Medicine, Suez Canal University Hospital, Egypt.

出版信息

JACC Case Rep. 2021 Oct 6;3(13):1494-1498. doi: 10.1016/j.jaccas.2021.06.041.

DOI:10.1016/j.jaccas.2021.06.041
PMID:34693349
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8511436/
Abstract

Axial-flow ventricular assist devices are being increasingly used to support hemodynamically compromised patients undergoing percutaneous coronary intervention. Periprocedural valvular complications have been recognized in a few case reports. We present a unique case of entanglement of the Impella within he mitral subvalvular apparatus, retrieved successfully using a snare under fluoroscopic guidance. ().

摘要

轴流式心室辅助装置越来越多地用于支持接受经皮冠状动脉介入治疗的血流动力学不稳定患者。少数病例报告中已认识到围手术期瓣膜并发症。我们报告了一例独特的病例，即Impella装置缠绕在二尖瓣瓣下结构内，在透视引导下使用圈套器成功取出。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8112/8511436/71c3066b5d8d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8112/8511436/809f833607fd/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8112/8511436/67580bc61c74/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8112/8511436/56504f24a9fc/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8112/8511436/ee27eedc1668/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8112/8511436/c172b5a07cca/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8112/8511436/71c3066b5d8d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8112/8511436/809f833607fd/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8112/8511436/67580bc61c74/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8112/8511436/56504f24a9fc/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8112/8511436/ee27eedc1668/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8112/8511436/c172b5a07cca/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8112/8511436/71c3066b5d8d/gr5.jpg

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本文引用的文献

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MitraClip Treatment for Severe Mitral Regurgitation Due to Chordae Rupture Following Impella CP Support in a Patient With Severe Aortic Stenosis.经 Impella CP 支持治疗后的主动脉瓣重度狭窄患者，因腱索断裂导致重度二尖瓣反流而采用 MitraClip 治疗。
Cardiovasc Revasc Med. 2021 Jul;28S:118-120. doi: 10.1016/j.carrev.2020.08.027. Epub 2020 Aug 15.
2
Short-term mechanical circulatory support (intra-aortic balloon pump, Impella, extracorporeal membrane oxygenation, TandemHeart): a review.短期机械循环支持（主动脉内球囊反搏、Impella、体外膜肺氧合、TandemHeart）：综述
Ann Transl Med. 2020 Jul;8(13):829. doi: 10.21037/atm-20-2171.
3
Entrapment of the Impella heart pump in the mitral subvalvular apparatus.
Impella心脏泵陷入二尖瓣瓣下结构。
EuroIntervention. 2021 Feb 5;16(15):e1262-e1263. doi: 10.4244/EIJ-D-19-00942.
4
The Effect of Impella CP on Cardiopulmonary Physiology During Venoarterial Extracorporeal Membrane Oxygenation Support.Impella CP对静脉-动脉体外膜肺氧合支持期间心肺生理的影响。
Artif Organs. 2017 Dec;41(12):1109-1112. doi: 10.1111/aor.12923. Epub 2017 Jun 7.
5
Snare-Facilitated Retrieval of Entangled Impella Device.圈套器辅助取出纠缠的Impella装置。
J Interv Cardiol. 2016 Jun;29(3):332-3. doi: 10.1111/joic.12275. Epub 2016 Feb 3.