内部乳腺动脉损伤使表面复杂化 内外中央静脉导管
Kihoon Bohle1,2, Bright Benfor1, Simon J Montelongo1
1Division of Vascular Surgery, DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, TX.
Journal of vascular surgery cases and innovative techniques
|December 11, 2023
概括
在中央静脉导管放置期间发生的一种罕见的动脉损伤凸显了对先进成像的需要. 迅速的干预挽救了一名经历了内乳动脉撕裂后心血管崩的患者.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 医疗器械安全 医疗器械安全
背景情况:
- 放置中央静脉导管是常见的,但存在风险.
- 封闭的中央静脉系统对导管治疗提出了独特的挑战.
- 表面器件有助于内外导管的放置.
研究的目的:
- 在使用Surfacer设备时报告近乎致命的动脉损伤病例.
- 强调先进成像技术在预防手术并发症方面的重要性.
- 用手术前成像来突出动脉损伤的可预测性.
主要方法:
- 一个病人的病例报告进行了内外导管安置.
- 利用Surfacer设备通过一个封闭的中央静脉系统进入.
- 术后分析使用手术内形线束计算机断层扫描 (CBCT).
主要成果:
- 发生了右侧内部乳腺动脉的无意中撕裂.
- 患者患有心血管崩,需要复苏.
- 成功的管理涉及输血,胸管安置和线圈栓塞.
结论:
- 在此过程中动脉损伤是潜在的并发症.
- 在手术期间的CBCT表明,损伤是可预测的.
- 先进的成像指导对于提高程序安全至关重要.
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