线圈栓塞作为肺动脉穿孔的救生治疗方法,这是大孔导管的次要原因
Joji Varghese1, Bailey Ann Estes1, Ashlyn Augustine2
1Hendrick Medical Center, Abilene, Texas, USA.
JACC. Case reports
|September 18, 2023
概括
通过机械血栓切除术治疗肺栓塞可能导致肺动脉穿孔. 快速的气球吸血栓和线圈栓塞成功地在关键情况下停止了出血,证明了线圈栓塞.
科学领域:
- 干预心脏病学 干预心脏病学
- 心血管外科心血管外科
- 肺部医学 肺部医学
背景情况:
- 肺栓塞 (PE) 是致病率和死亡率的重要原因.
- 机械血栓切除术是一种越来越多地使用的PE治疗方法.
- 在干预手术过程中,血管并发症,如血管穿孔,可能会发生.
研究的目的:
- 报告一个罕见的左肺动脉穿孔病例在PE机械血栓切除术期间.
- 为了突出这一并发症的成功管理.
- 为了强调线圈栓塞在管理大血管穿孔的实用性.
主要方法:
- 一名为PE进行机械血栓切除术的患者经历了左肺动脉穿孔.
- 患者出现了血液动力学不稳定性和大规模的血栓塞.
- 治疗涉及及及时气球吸血栓和0.035毫米线圈栓塞以控制出血.
主要成果:
- 干预程序成功地阻止了肺动脉扩张.
- 患者的血液动力学状况在干预后得到稳定.
- 线圈栓塞被证明是大血管穿孔的救生措施.
结论:
- 肺动脉穿孔是PE机械血栓切除术的潜在并发症.
- 在这种情况下,线圈栓塞是对大型血管穿孔的有效和潜在的拯救生命的治疗方法.
- 及时识别和干预对于管理这些关键事件至关重要.
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