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[血管内异物的取出]

[Extraction of intravascular foreign bodies].

作者信息

Angel C Y, Brenot P, Riou J Y, Parola J L, Losay J, Petit J, Lancelin B, Chevalier B

机构信息

Département de Radiologie cardiovasculaire, Centre chirurgical Marie Lannelongue, Le Plessis-Robinson.

出版信息

Presse Med. 1995 Apr 8;24(14):665-70.

PMID:7770413
Abstract

OBJECTIVE

Loss or displacement of foreign material within the cardiovascular system is not an uncommon event. Foreign bodies include fragments of diagnosis equipment, ruptured catheters or malpositioned or displaced intravascular prostheses. The incidence has increased with the development of endovascular catheterism and raises the problem of extraction.

METHODS

We report our experience with percutaneous extraction of intravascular foreign bodies.

RESULTS

There were 56 cases. Percutaneous extraction was successful in 53. In 11 cases, the procedure was carried out during a catheterism procedure and in the others the initial event had occurred earlier. The delay to extraction varied from a few hours to several years.

CONCLUSION

Percutaneous extraction of intravascular foreign bodies should be attempted before surgical removal, an often difficult high-risk procedure. The literature does not provide data on the frequency of intravascular foreign bodies.

摘要

目的

心血管系统内异物的丢失或移位并非罕见事件。异物包括诊断设备碎片、破裂的导管或位置不当或移位的血管内假体。随着血管内导管插入术的发展,其发生率有所增加,并引发了取出问题。

方法

我们报告了经皮取出血管内异物的经验。

结果

共56例。53例经皮取出成功。11例在导管插入术过程中进行了该操作,其他病例最初的事件发生时间较早。取出的延迟时间从数小时到数年不等。

结论

在进行通常难度较大且风险较高的手术取出之前,应尝试经皮取出血管内异物。文献中未提供血管内异物发生频率的数据。

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