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在复杂的下腔静脉滤器取出过程中通过球囊辅助取出残留的血管鞘

Balloon-Assisted Retrieval of a Retained Vascular Sheath during Complex Inferior Vena Cava Filter Removal.

作者信息

Samuel Michael, Nahab Bashar, Chadalavada Seetharam

机构信息

Division of Vascular and Interventional Radiology, Department of Radiology, University of Cincinnati, Cincinnati, Ohio.

出版信息

Semin Intervent Radiol. 2023 Jul 20;40(3):298-303. doi: 10.1055/s-0043-1769747. eCollection 2023 Jun.

Abstract

A potential complication of complex endovascular procedures is retained foreign bodies such as fragmented catheters, wires, stents, or sheaths in the intravascular space. Different techniques are available for retrieval of intravascular foreign bodies including snares, forceps, baskets, tip-deflecting wires, and balloon catheters. The aim of this article is to describe our experience in which a lost large intravascular sheath was retrieved using balloon assistance. We also provide a review of different techniques used for intravascular large sheath retrieval and methods to avoid this complication during endovascular procedures such as complex inferior vena cava filter removal.

摘要

复杂血管内手术的一个潜在并发症是血管内遗留异物,如破碎的导管、导丝、支架或鞘管。有多种技术可用于取出血管内异物,包括圈套器、镊子、网篮、尖端可偏转导丝和球囊导管。本文的目的是描述我们使用球囊辅助取出丢失的大血管内鞘管的经验。我们还综述了用于血管内大鞘管取出的不同技术,以及在血管内手术(如复杂下腔静脉滤器取出术)中避免这种并发症的方法。

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