Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Department of Ultrasound, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, China.
Ann Thorac Cardiovasc Surg. 2023 Apr 20;29(2):93-96. doi: 10.5761/atcs.cr.21-00120. Epub 2021 Nov 3.
We report the use of the guidewire lasso technique for the removal of an embedded esophageal self-expanding metal stent (SEMS), following a failure of distal to proximal invagination by removal hook caused by stent incorporation. During a removal procedure of an embedded SEMS using the hook retrieval device, the strut fractured and the stent retained. Attempts to pull up the retained stent using hook were not effective. Thus, the lasso technique with a guidewire over the retained stent was performed and successfully removed with no procedure-related complications. The patient is alive without dysphagia after 3 months follow-up.
我们报告了使用导丝套索技术来移除一个嵌入式食管自膨式金属支架（SEMS），此前由于支架融合，使用取出钩导致支架从远端向近端内卷失败。在使用钩取器移除嵌入式 SEMS 的过程中，支架的支柱断裂，支架被保留。使用钩向上拉保留的支架的尝试没有效果。因此，使用导丝进行套索技术，并成功地移除了支架，没有出现与操作相关的并发症。在 3 个月的随访中，患者没有吞咽困难，仍然存活。
