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经皮途径从右心房和腹主动脉取出异物(导管)。2例报告并文献复习

[Extraction of foreign bodies (catheters) from the right atrium and the abdominal aorta by the percutaneous route. Report of 2 cases and review of the literature].

作者信息

Espinosa Mejía R, Carrasco Guerra H, Barboza J S, Fuenmayor Arocha A, Phillips V

出版信息

Arch Inst Cardiol Mex. 1983 Mar-Apr;53(2):143-6.

PMID:6349564
Abstract

Two cases of catheter-fragment embolism from a peripherical vein into the cardiac cavities and their extraction by means of a modified technique are presented. In the first case, the foreign body was located in the right cavities of the heart and it was extracted employing a modified technique by means of a Pigtail catheter and a Bioptom sequentially introduced percutaneously. In the second case, the embolus was located in the abdominal aorta and was extracted percutaneously with a Fogarty catheter. A review of the literature is made and, owing to the increasing frequency of the use of intravascular catheters, some recommendations are made in order to avoid this kind of complications.

摘要

本文介绍了两例外周静脉导管碎片栓塞至心腔并采用改良技术取出的病例。第一例中,异物位于心脏右腔,通过经皮依次插入猪尾导管和活检钳,采用改良技术将其取出。第二例中,栓子位于腹主动脉,用Fogarty导管经皮取出。本文对文献进行了综述,鉴于血管内导管使用频率的增加,提出了一些预防此类并发症的建议。

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