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用于心包穿刺术中医源性右心室穿孔经皮处理的血管封堵装置Angio-Seal

Angio-Seal Vascular Closure Device for Percutaneous Management of Iatrogenic Right Ventricular Perforation During Pericardiocentesis.

作者信息

Skalidis Ioannis, Rubimbura Vladimir, Eeckhout Eric

机构信息

Cardiology Division, Heart & Vessels Department, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.

Cardiology Division, Ensemble Hospitalier de la Côte, Morges, Switzerland.

出版信息

Catheter Cardiovasc Interv. 2025 Feb;105(2):410-412. doi: 10.1002/ccd.31327. Epub 2024 Dec 2.

Abstract

This case report presents an instance of iatrogenic right ventricular perforation during pericardial paracentesis, a rare complication with potentially fatal consequences. Despite initial unsuccessful pericardial drainage, successful closure of the perforation was achieved using an Angio-Seal vascular closure device, leading to cessation of hemorrhage and resolution of hemodynamic instability. The case highlights the efficacy of Angio-Seal in managing such complications, emphasizing its utility in complex clinical scenarios involving pericardial interventions.

摘要

本病例报告呈现了一例心包穿刺术期间医源性右心室穿孔的病例,这是一种罕见的并发症,可能会导致致命后果。尽管最初心包引流未成功,但使用血管封堵器成功封闭了穿孔,从而停止了出血并解决了血流动力学不稳定的问题。该病例突出了血管封堵器在处理此类并发症方面的有效性,强调了其在涉及心包干预的复杂临床情况中的实用性。

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