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经皮冠状动脉介入治疗中的器械嵌顿。

Device entrapment during percutaneous coronary intervention.

机构信息

Interventional cardiology Unit, Hospital Universitari i Politecnic La Fe, Valencia, Spain.

Centro de Investigación Biomedica en Red (CIBERCV)-Madrid, Madrid, Spain.

出版信息

Catheter Cardiovasc Interv. 2022 May;99(6):1766-1777. doi: 10.1002/ccd.30160. Epub 2022 Mar 21.

DOI:10.1002/ccd.30160
PMID:35312151
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9544850/
Abstract

INTRODUCTION

Device entrapment is a life-threatening complication during percutaneous coronary intervention (PCI). However, the success for its management is predominantly based on operator experience with limited available guidance in the published literature.

METHODS

A systematic review was performed on December 2021; we searched PubMed for articles on device entrapment during PCI. In addition, backward snowballing (i.e., review of references from identified articles and pertinent reviews) was employed.

RESULTS

A total of 4209 articles were retrieved, of which 150 studies were included in the synthesis of the data. A methodical algorithmic approach to prevention and management of device entrapment can help to optimize outcomes. The recommended sequence of steps are as follows: (a) pulling, (b) trapping, (c) snaring, (d) plaque modification, (e) telescoping, and (f) surgery.

CONCLUSIONS

In-depth knowledge of the techniques and necessary tools can help optimize the likelihood of successful equipment retrieval and minimization of complications.

摘要

简介

在经皮冠状动脉介入治疗（PCI）过程中，器械嵌顿是一种危及生命的并发症。然而，其管理的成功主要取决于操作者的经验，而发表的文献中提供的指导有限。

方法

我们于 2021 年 12 月进行了系统评价，在 PubMed 上搜索了关于 PCI 过程中器械嵌顿的文章。此外，还采用了回溯滚雪球法（即从已确定的文章和相关综述中查阅参考文献）。

结果

共检索到 4209 篇文章，其中 150 项研究纳入数据综合分析。有系统、有方法的器械嵌顿预防和管理方法有助于优化结果。推荐的步骤顺序如下：（a）拉拔，（b）嵌顿，（c）套圈，（d）斑块修饰，（e）伸缩，和（f）手术。

结论

深入了解相关技术和必要工具可以帮助提高成功取出设备的可能性，并最大限度地减少并发症。

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