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[经腔内取出已迁移至心脏中心腔的导管碎片]

[Endocavitary removal of catheter fragments which had migrated into central cardiac cavities].

作者信息

Michat L, Baud F, Mattei S, Pavie A, Gandjbakhch I, Cabrol A, Cabrol C

出版信息

Arch Mal Coeur Vaiss. 1984 Apr;77(4):468-71.

PMID:6426433
Abstract

Five cases of endocavitary recovery of embolised fragments of catheter are reported. In three cases, the Dotter apparatus was used with a percutaneous approach. In the other two cases, a Dormia catheter was introduced after surgical venous cut-down. The embolised catheters were all recovered successfully in periods ranging from 10 minutes to 1 hour. Local anaesthetic was used in one case. The interval between initial rupture and recovery of the catheter ranged from several hours to 2 months. No complications occurred during or after these manoeuvres. This is a simple, rapid, and economical method which may save the patient from thoracic surgery, and should always be kept in mind.

摘要

报告了5例导管栓塞碎片腔内回收的病例。其中3例采用经皮途径使用Dotter器械。另外2例在手术切开静脉后插入Dormia导管。栓塞的导管均在10分钟至1小时内成功回收。1例使用了局部麻醉。导管初始破裂至回收的间隔时间为数小时至2个月。这些操作过程中及之后均未发生并发症。这是一种简单、快速且经济的方法,可使患者免于开胸手术,应始终牢记。

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