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在使用Rashkind伞装置对成年动脉导管未闭患者进行经导管封堵术后,联合使用可脱卸弹簧圈对抗持续性机械性溶血。

Combined use of detachable coil against persistent mechanical hemolysis after transcatheter occlusion using Rashkind umbrella device in adult patient with patent ductus arteriosus.

作者信息

Murakami H, Tsuchihashi K, Tomita H, Ikeda R, Hirata A, Ogawa T, Nakagawa M, Kuroiwa Y, Fuse S, Shimamoto K

机构信息

Second Department of Internal Medicine, Sapporo Medical University School of Medicine, Japan.

出版信息

Heart Vessels. 1997;12(1):49-51. doi: 10.1007/BF01747502.

DOI:10.1007/BF01747502
PMID:9288560
Abstract

Mechanical hemolysis after transcatheter occlusion of the patent ductus arteriosus using the Rashkind umbrella device has been postulated as a rare, but serious complication, even necessitating surgical repair. A rare, case of an adult patient with massive hemolytic anemia, successfully controlled by the combined use of several detachable coil devices is reported. The use of coil devices might be considered as a therapeutic option in such cases.

摘要

使用拉什金德伞装置经导管封堵动脉导管未闭后发生机械性溶血被认为是一种罕见但严重的并发症,甚至需要进行手术修复。本文报道了一例罕见的成年患者,患有大量溶血性贫血,通过联合使用多个可分离线圈装置成功得到控制。在这类病例中,可考虑将使用线圈装置作为一种治疗选择。

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1
Combined use of detachable coil against persistent mechanical hemolysis after transcatheter occlusion using Rashkind umbrella device in adult patient with patent ductus arteriosus.在使用Rashkind伞装置对成年动脉导管未闭患者进行经导管封堵术后,联合使用可脱卸弹簧圈对抗持续性机械性溶血。
Heart Vessels. 1997;12(1):49-51. doi: 10.1007/BF01747502.
2
Transcatheter closure of the patent ductus arteriosus: a comparative study between occluding coils and the Rashkind umbrella device.动脉导管未闭的经导管封堵术:封堵线圈与拉什金德伞装置的对比研究
Cathet Cardiovasc Diagn. 1996 Dec;39(4):355-63; discussion 364. doi: 10.1002/(SICI)1097-0304(199612)39:4<355::AID-CCD6>3.0.CO;2-C.
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Transcatheter closure of oversized persistent ductus arteriosus by simultaneous delivery of two Rashkind umbrella devices.通过同时输送两个拉什金德伞装置经导管闭合超大的动脉导管未闭。
Cathet Cardiovasc Diagn. 1995 Nov;36(3):251-4. doi: 10.1002/ccd.1810360313.

本文引用的文献

1
Transcatheter closure of residual patent ductus arteriosus shunting after the Rashkind occluder device using single or multiple Gianturco coils.使用单个或多个弹簧圈经导管封堵Rashkind封堵器装置术后残留的动脉导管未闭分流。
Cathet Cardiovasc Diagn. 1995 Nov;36(3):255-8. doi: 10.1002/ccd.1810360314.
2
Closure of residual patent ductus arteriosus with occluding spring coil after implant of a Rashkind occluder.
Am Heart J. 1994 Apr;127(4 Pt 1):943-5. doi: 10.1016/0002-8703(94)90570-3.
3
Transcatheter occlusion of the persistently patent ductus arteriosus. Forty-month follow-up and prevalence of residual shunting.
Circulation. 1991 Dec;84(6):2313-7. doi: 10.1161/01.cir.84.6.2313.
4
Percutaneous closure of the small (less than 2.5 mm) patent ductus arteriosus using coil embolization.使用弹簧圈栓塞术经皮闭合小型(小于2.5毫米)动脉导管未闭。
Am J Cardiol. 1992 Mar 15;69(8):815-6. doi: 10.1016/0002-9149(92)90514-y.
5
Transcatheter occlusion of persistent arterial duct. Report of The European Registry.
Lancet. 1992 Oct 31;340(8827):1062-6.