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经皮异物取出术:镍钛合金鹅颈圈套器的应用经验

Percutaneous retrieval of foreign bodies: experience with the nitinol Goose Neck snare.

作者信息

Cekirge S, Weiss J P, Foster R G, Neiman H L, McLean G K

机构信息

Department of Radiology, Western Pennsylvania Hospital, Pittsburgh 15224.

出版信息

J Vasc Interv Radiol. 1993 Nov-Dec;4(6):805-10. doi: 10.1016/s1051-0443(93)71978-8.

Abstract

PURPOSE

The authors present their experience with the nitinol Goose Neck snare system in the retrieval of retained foreign bodies in 20 patients.

PATIENTS AND METHODS

Foreign bodies were located in the vascular system in 13 patients, urinary tract in four, biliary system in one, gastrointestinal tract in one, and the peritoneal space in one. All retrievals were performed with use of standard angiographic/interventional techniques.

RESULTS

Success was achieved in all cases without attendant complications. Foreign bodies removed included catheter and guide-wire fragments, an embolization coil, broken or occluded double pigtail catheters, a Wallstent, and a surgical laparotomy sponge.

CONCLUSION

All procedures were performed quickly, safely, and without difficulty. Because of its excellent torque control, positive grasping capacity, excellent radiopacity, lack of traumatic effect, and availability in different sizes appropriate for use in a wide variety of difficult anatomic spaces, the authors recommend that this device be considered the first choice for all foreign body retrieval procedures.

摘要

目的

作者介绍了他们使用镍钛诺鹅颈圈套器系统取出20例患者体内留存异物的经验。

患者与方法

13例患者的异物位于血管系统,4例位于泌尿系统,1例位于胆道系统,1例位于胃肠道,1例位于腹膜腔。所有取出操作均采用标准血管造影/介入技术。

结果

所有病例均成功取出异物,且无相关并发症。取出的异物包括导管和导丝碎片、一个栓塞线圈、折断或堵塞的双猪尾导管、一个Wallstent支架和一块外科剖腹手术海绵。

结论

所有操作均迅速、安全且无困难。由于其出色的扭矩控制、可靠的抓取能力、良好的显影性、无创伤性以及有不同尺寸可供选择以适用于各种复杂解剖部位,作者建议该器械应被视为所有异物取出操作的首选。

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