Kappenberger L, Tartini R, Steinbrunn W
Schweiz Med Wochenschr. 1985 Feb 23;115(8):258-60.
Removal of catheter tip or guide wire emboli is needed for most cases with this complication. An alternative to surgery is transvenous retrieval. The authors present their experience with a simple self-made loop-catheter, which in 11 of 12 cases proved successful for extraction of 9 catheter tips and 3 guide wires located in the central venous system, the right ventricle and the pulmonary artery in 10 patients, and in the aorta in 2. No further complications were caused by this procedure. Due to the serious hazards of embolized foreign bodies there is a need to remove them, and the authors believe that the transluminal route, preferably with the loop catheter, should be the primary approach to this iatrogenic complication.
对于大多数出现这种并发症的病例，需要取出导管尖端或导丝栓子。手术的替代方法是经静脉取出。作者介绍了他们使用一种简单自制环形导管的经验，在12例病例中的11例，成功取出了位于10例患者中心静脉系统、右心室和肺动脉以及2例患者主动脉中的9个导管尖端和3根导丝。该操作未引起进一步并发症。由于栓塞异物存在严重危害，有必要将其取出，作者认为经腔途径，最好使用环形导管，应作为处理这种医源性并发症的主要方法。
