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经皮取出栓塞的左心耳封堵器后主动脉破裂和失血性休克

Aortic Rupture and Hemorrhagic Shock After Percutaneous Retrieval of an Embolized Left Atrial Appendage Occluder.

作者信息

Mastrangelo Angelo, Galli Stefano, Montorsi Piero, Bartorelli Antonio L

机构信息

Department of Interventional Cardiology, Centro Cardiologico Monzino, Istituto di Ricovero e Cura a Carattere Scientifico, University of Milan, Milan, Italy.

Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.

出版信息

JACC Case Rep. 2022 Apr 20;4(8):486-490. doi: 10.1016/j.jaccas.2022.03.004.

DOI:10.1016/j.jaccas.2022.03.004
PMID:35493795
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9044290/
Abstract

Left atrial appendage (LAA) closure may be complicated by occluder embolization. Percutaneous retrieval is preferred for devices embolized to large vessels. In this report, the successful percutaneous retrieval of an LAA occluder embolized to the abdominal aorta was followed by several complications, culminating in iatrogenic aortic rupture requiring endovascular repair. .

摘要

左心耳（LAA）封堵术可能会因封堵器栓塞而变得复杂。对于栓塞至大血管的器械，经皮取出是首选方法。在本报告中，成功经皮取出栓塞至腹主动脉的LAA封堵器后出现了多种并发症，最终导致医源性主动脉破裂，需要进行血管腔内修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c7/9044290/1faa905c583f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c7/9044290/304d9b2b230c/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c7/9044290/ecf48cf870ad/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c7/9044290/a794b6b19800/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c7/9044290/1faa905c583f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c7/9044290/304d9b2b230c/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c7/9044290/ecf48cf870ad/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c7/9044290/a794b6b19800/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c7/9044290/1faa905c583f/gr3.jpg

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引用本文的文献

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Left atrial appendage closure device embolization-You may not know if you do not look.左心耳封堵装置栓塞——不看你可能不知道。
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本文引用的文献

1
The Watchman FLX Device: First European Experience and Feasibility of Intracardiac Echocardiography to Guide Implantation.Watchman FLX 装置：欧洲首例经验及腔内超声指导植入的可行性。
JACC Clin Electrophysiol. 2020 Dec 14;6(13):1633-1642. doi: 10.1016/j.jacep.2020.06.028. Epub 2020 Aug 26.
2
Device Embolization in Structural Heart Interventions: Incidence, Outcomes, and Retrieval Techniques.结构性心脏病介入治疗中的器械栓塞：发生率、结局和取出技术。
JACC Cardiovasc Interv. 2019 Jan 28;12(2):113-126. doi: 10.1016/j.jcin.2018.08.033.
3
Incidence, Prevention, and Management of Periprocedural Complications of Left Atrial Appendage Occlusion.
左心耳封堵围手术期并发症的发生率、预防及处理
Interv Cardiol Clin. 2018 Apr;7(2):243-252. doi: 10.1016/j.iccl.2017.12.008.
4
Retrieval of embolized left atrial appendage devices.取出栓塞的左心耳装置。
Catheter Cardiovasc Interv. 2018 Jun;91(7):E75-E80. doi: 10.1002/ccd.26800. Epub 2016 Sep 28.
5
Embolization of left atrial appendage closure devices: A systematic review of cases reported with the watchman device and the amplatzer cardiac plug.左心耳封堵装置的栓塞：对使用Watchman装置和Amplatzer心脏封堵器报告病例的系统评价。
Catheter Cardiovasc Interv. 2015 Jul;86(1):128-35. doi: 10.1002/ccd.25891. Epub 2015 Feb 25.