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使用AngioVac对高风险手术患者进行右侧心内肿物抽吸:病例系列及文献综述

Aspiration of Right Sided Intracardiac Masses in High-Risk Surgical Patients Using AngioVac: A Case Series and Review of Literature.

作者信息

Madan Nidhi, von Buchwald Claudia Lama, Golemi Lolita, Iskander Mina, Attanasio Steve

机构信息

Division of Cardiology, Department of Internal Medicine, Rush University Medical Center, Chicago, IL, United States of America.

Division of Cardiology, Department of Internal Medicine, Rush University Medical Center, Chicago, IL, United States of America.

出版信息

Cardiovasc Revasc Med. 2023 Aug;53S:S253-S261. doi: 10.1016/j.carrev.2022.08.015. Epub 2022 Aug 13.

Abstract

Management of large right heart thrombi and vegetations is challenging. Medical management may be insufficient to prevent embolization or treat infection. Surgery carries a high mortality and is often not an option for these patients with multiple comorbidities. We present a case series of four patients describing percutaneous aspiration thrombectomy with AngioVac device as a safe and effective treatment for high-risk patients with right heart thrombi or tricuspid valvular vegetations. Indexing words.

摘要

大型右心血栓和赘生物的管理具有挑战性。药物治疗可能不足以预防栓塞或治疗感染。手术死亡率高,对于这些有多种合并症的患者通常不是一个选择。我们报告了一系列4例患者的病例,描述了使用AngioVac装置进行经皮抽吸血栓切除术作为右心血栓或三尖瓣赘生物高危患者的一种安全有效的治疗方法。索引词。

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