用于检索肺栓塞的导管碎片在肺动脉中脱离的三明治技术
Xiaolong Zhang1, Zhichao Jiang2, Youwei Xie3
1Department of Vascular Surgery, Taizhou Hospital Affiliated to Wenzhou Medical University, Linhai, China.
Journal of thoracic disease
|April 14, 2025
概括
一种新的"三明治技术"有效地从肺动脉中取回被外围插入的中央导管 (PICC) 碎片. 这种三步方法克服了现有技术的局限性,当碎片缺乏自由端时.
科学领域:
- 心血管干预 心血管干预
- 医疗设备检索 医疗设备检索
背景情况:
- 导管碎片对右心室或肺动脉的栓塞是一种需要检索的并发症.
- 现有的检索方法,通常是两步的,当导管碎片缺乏可访问的自由端或由于血液流动而不稳定时,可能会失败.
研究的目的:
- 介绍一种新的三步方法,用于检索外围插入中心导管 (PICC) 碎片.
- 描述这种新技术在标准方法不足的情况下的成功应用.
主要方法:
- 开发了一种新的三步"三明治技术"用于导管碎片检索.
- 这些步骤包括: 1. 猪尾导管将碎片重新放置到右侧常见阴静脉. 2. 2. 2. 这是一个很棒的节目. 将0.014英寸的电线穿过卷轴碎片. 3. 3. 3. 3. 这是一件很棒的事情. 索引线尖的陷循环检索.
主要成果:
- 这种"三明治技术"成功地检索出了一个外围插入的中央导管 (PICC) 碎片,该碎片在右侧主要肺动脉中脱离.
- 这种方法即使在碎片没有自由端并且受到血液动力学力的影响时也有效.
结论:
- "三明治技术"为检索具有挑战性的血管内导管碎片提供了一种可行且有利的替代方案.
- 这种方法扩大了管理中央静脉导管安置并发症的武器库.
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