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取出卡入 Bjork-Shiley 主动脉瓣膜假体中的导管碎片。采用改良圈套技术经动脉途径。

Removal of a fragment of catheter entrapped in a Bjork-Shiley aortic valvular prosthesis. Transarterial approach using a modified loop-snare technique.

作者信息

Robles de Medina E O, Westerhof P W, van Mill G J, Huysmans H A, Schaepkens van Riempst L E

出版信息

Chest. 1977 Jul;72(1):98-9. doi: 10.1378/chest.72.1.98.

DOI:10.1378/chest.72.1.98
PMID:872665
Abstract

Fracture of a left atrial catheter made of polyethylene and its subsequent embolization and entrapment in a Bjork-Shiley aortic valvular prosthesis is reported in a 62-year-old woman. The entrapped fragment of the catheter was retrieved by a transarterial approach using a homemade modified snare-loop device. Measures to prevent such a complication should be directed towards avoidance of force when removing such catheters. In addition, their length should be determined prior to insertion and again after removal, in order to detect their possible fracture and loss at once.

摘要

报道了一名62岁女性患者,其左心房聚乙烯导管发生断裂,随后导管碎片栓塞并嵌顿于Bjork-Shiley主动脉瓣膜假体中。通过经动脉途径使用自制改良圈套环装置取出了嵌顿的导管碎片。预防此类并发症的措施应针对在拔除此类导管时避免用力。此外,在插入导管前和拔除后均应测量其长度,以便立即发现导管可能发生的断裂和丢失。

相似文献

1
Removal of a fragment of catheter entrapped in a Bjork-Shiley aortic valvular prosthesis. Transarterial approach using a modified loop-snare technique.取出卡入 Bjork-Shiley 主动脉瓣膜假体中的导管碎片。采用改良圈套技术经动脉途径。
Chest. 1977 Jul;72(1):98-9. doi: 10.1378/chest.72.1.98.
2
Retrograde crossing of aortic Bjork-Shiley prosthesis.主动脉 Bjork-Shiley 人工瓣膜逆行性移位
Am J Cardiol. 1979 May;43(5):1062-4. doi: 10.1016/0002-9149(79)90382-5.
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Catheter entrapment in a Björk-Shiley prosthesis in aortic position.主动脉位置的Björk-Shiley人工心脏瓣膜中的导管卡塞。
Cathet Cardiovasc Diagn. 1987 Jul-Aug;13(4):262-5. doi: 10.1002/ccd.1810130407.
4
[Selection of valve prosthesis, reoperation and late result--surgical technique of reoperation with Björk-Shiley prosthesis].
Nihon Geka Gakkai Zasshi. 1989 Sep;90(9):1517-20.
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[Late outlet strut fracture of an aortic Björk-Shiley and embolization of the prosthetic disc].
Arch Mal Coeur Vaiss. 1988 Sep;81(9):1127-9.
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Surgical treatment of thrombosed Björk-Shiley aortic valve prosthesis.血栓形成的 Björk-Shiley 主动脉瓣人工瓣膜的外科治疗
J Thorac Cardiovasc Surg. 1976 Mar;71(3):429-32.
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Acute aortic regurgitation secondary to disk embolization of a Björk-Shiley prosthetic aortic valve.因 Björk-Shiley 人造主动脉瓣瓣叶栓塞导致的急性主动脉瓣反流。
J Am Soc Echocardiogr. 2011 Mar;24(3):350.e5-6. doi: 10.1016/j.echo.2010.07.001. Epub 2010 Aug 13.
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Disc embolization of Björk-Shiley mitral prosthesis without strut fracture.无支柱断裂的 Björk-Shiley 二尖瓣假体瓣片栓塞
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Percutaneous interventricular septal access in a patient with aortic and mitral mechanical valves: a novel technique for catheter ablation of ventricular tachycardia.在一名植入主动脉瓣和二尖瓣机械瓣膜的患者中经皮进入室间隔:一种用于导管消融室性心动过速的新技术。
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2
Sudden death from left atrial pressure line wedging into cardiac valve prosthesis: pathologic findings and forensic significance.左心房压力线楔入心脏瓣膜假体导致的猝死:病理发现及法医学意义
Z Rechtsmed. 1988;101(2):131-5. doi: 10.1007/BF00200294.