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[使用尿路结石取出器从上腔静脉取出异物]

[Removal of a foreign body from the superior vena cava by means of a urinary calculus remover].

作者信息

Hutschenreiter W, Trenckmann H, Engelmann L

出版信息

Z Gesamte Inn Med. 1978 Aug 1;33(15):513-6.

PMID:695791
Abstract

It is reported on a successful removal of torn off or knotted parts of a heart catheter, which were extracted without difficulties from the superior vena cava and from the right atrium via the vena saphena magna by means of the catcher of ureteroliths after Dormia. One case in question was a 27-year-old male patient with pentalogy of Fallot, in whom was the danger of embolisation into the greater circulatory system on account of the torn off catheter conducting wire. In the other 57-year-old patient with acute myocardial infarction after knotting of a subclavian catheter a mechanical irritation of the endocardium with repeated appearance of ventricular fibrillation developed. Before deciding on a thoracotomy for the removal of parts of a catheter from the central vessels and the heart it should be tried before a transvasal extraction with the help of special catheters.

摘要

据报道,通过使用多尔米亚(Dormia)输尿管结石抓捕器,成功取出了心脏导管撕裂或打结的部分,这些部分经大隐静脉从 superior vena cava 和右心房顺利取出。其中一个病例是一名27岁患有法洛四联症的男性患者,由于导管导丝撕裂,存在栓塞进入大循环系统的危险。另一名57岁的患者在锁骨下导管打结后发生急性心肌梗死,出现了心内膜机械性刺激并反复发生心室颤动。在决定开胸从中心血管和心脏取出导管部分之前,应先尝试借助特殊导管经血管取出。

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