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使用球囊导管解开打结的血管造影导管:一例报告

Untangling a Knotted Angiographic Catheter Using a Balloon Catheter: A Case Report.

作者信息

Takahagi Motonori, Takaki Haruyuki, Yokoyama Hiroyuki, Taniguchi Junichi, Komoto Hisashi, Ogasawara Atsushi, Kodama Hiroshi, Kako Yasukazu, Kobayashi Kaoru, Yamakado Koichiro

机构信息

Department of Radiology, Hyogo Medical University, Japan.

出版信息

Interv Radiol (Higashimatsuyama). 2023 Jun 3;8(2):80-82. doi: 10.22575/interventionalradiology.2022-0036. eCollection 2023 Jul 1.

DOI:10.22575/interventionalradiology.2022-0036
PMID:37485482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10359165/
Abstract

When a 66-year-old man with hepatocellular carcinoma underwent an angiographic examination, a 4-Fr catheter was inserted from the right femoral artery. It became tightly knotted in the descending aorta. To untangle the knotted catheter, a noncompliant balloon catheter was delivered into the knotted loop from the contralateral femoral artery. After the balloon catheter was inflated from the inside of the knotted loop, the knot became loose. Finally, the knotted catheter was untangled. Subsequently, the remainder of the examination was performed as initially planned.

摘要

一名66岁的肝细胞癌男性患者接受血管造影检查时,从右股动脉插入了一根4F导管。该导管在降主动脉内紧密打结。为了解开打结的导管,从对侧股动脉将一根非顺应性球囊导管送入打结的环内。球囊导管从打结环内部充气后,结松开了。最后,解开了打结的导管。随后,按照最初计划完成了其余的检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0516/10359165/2d2f11f557d4/2432-0935-8-2-0080-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0516/10359165/74711e505617/2432-0935-8-2-0080-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0516/10359165/1506767bd3e8/2432-0935-8-2-0080-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0516/10359165/2d2f11f557d4/2432-0935-8-2-0080-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0516/10359165/74711e505617/2432-0935-8-2-0080-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0516/10359165/1506767bd3e8/2432-0935-8-2-0080-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0516/10359165/2d2f11f557d4/2432-0935-8-2-0080-g003.jpg

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本文引用的文献

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2
What to Do: Retrieval of a Kinked and Trapped Coronary Catheter.该怎么做:取出扭结并陷入困境的冠状动脉导管。
JACC Case Rep. 2020 Sep 15;2(11):1657-1661. doi: 10.1016/j.jaccas.2020.06.024. eCollection 2020 Sep.
3
Entrapment of a looped/kinked catheter in the brachial artery and its successful retrieval during transradial coronary catheterization.
在经桡动脉冠状动脉导管插入术中,臂动脉内环状/扭结导管的嵌顿及其成功取出。
J Invasive Cardiol. 2012 Sep;24(9):471-2.
4
Transfemoral contralateral technique to retrieve knotted coronary artery catheter using Amplatz Goose Neck snare catheter.经股动脉对侧技术使用Amplatz鹅颈圈套导管取出打结的冠状动脉导管。
BMJ Case Rep. 2010 Nov 19;2010:bcr1220092598. doi: 10.1136/bcr.12.2009.2598.
5
Percutaneous removal of a knotted pulmonary artery catheter using sheaths and parallel crossing wires.使用鞘管和平行交叉导丝经皮取出打结的肺动脉导管。
J Vasc Interv Radiol. 2007 Jun;18(6):813-4. doi: 10.1016/j.jvir.2007.03.016.
6
Percutaneous untying of a knot in a retained Swan-Ganz catheter.经皮松解留置的 Swan-Ganz 导管内的结。
Cardiovasc Intervent Radiol. 2000 May-Jun;23(3):224-5. doi: 10.1007/s002700010047.