使用经皮闭合装置修复医源性锁骨下动脉损伤。
Usage of a percutaneous closure device to repair an iatrogenic subclavian artery injury.
机构信息
Department of Surgery, University of Chicago Department of Surgery, Chicago, IL, USA.
Florida Heart and Vascular, JFK Medical Center, Atlantis, Florida, USA.
出版信息
Vascular. 2023 Jun;31(3):585-588. doi: 10.1177/17085381211068220. Epub 2022 Mar 31.
OBJECTIVES
Inadvertent subclavian artery cannulation during attempted subclavian central venous access is more likely to occur during rushed trauma resuscitations when anatomic landmarks are used for placement. Traditional supraclavicular and infraclavicular approaches for direct repair of the resultant arteriotomy are painful, morbid procedures that should be replaced with more minimally invasive techniques.
METHODS
This case report describes the usage of a percutaneous suture-mediated device (Perclose Proglide, Abbott Laboratories) to repair an iatrogenic subclavian artery arteriotomy.
RESULTS
Two patients had their injuries successfully repaired using a percutaneous closure device.
CONCLUSIONS
The use of a percutaneous closure device to repair iatrogenic subclavian artery injuries is a safe and effective method of repair that precludes a more invasive exposure and repair.
目的
在使用解剖标志进行置管时，匆忙进行创伤复苏时更容易发生意外锁骨下动脉置管。对于由此导致的动脉切开术，传统的锁骨上和锁骨下入路直接修复是痛苦的、病态的手术，应采用更微创的技术替代。
方法
本病例报告描述了使用经皮缝合介导装置（雅培实验室的 Perclose Proglide）来修复医源性锁骨下动脉切开术。
结果
两名患者均成功使用经皮闭合装置修复了损伤。
结论
使用经皮闭合装置修复医源性锁骨下动脉损伤是一种安全有效的修复方法，避免了更具侵袭性的暴露和修复。
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