复发的内支气管线圈迁移与针检查相关 肺动脉伪动脉瘤之后的针检查 栓塞
Michael H Koenig1, Mina S Makary2, Tejas Sinha3
1Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Davis Heart and Lung Institute, College of Medicine The Ohio State University Wexner Medical Center Columbus Ohio USA.
Respirology case reports
|May 1, 2025
概括
肺动脉栓塞的罕见并发症 - - 末支气管线圈迁移 - - 在像活检这样的手术后可能会复发. 支气管镜切除是有效的,但存在重复迁移,出血和肺炎的风险.
科学领域:
- 肺部医学 肺部医学
- 干预性放射学 干预性放射学
- 心血管外科心血管外科
背景情况:
- 内支气管线圈迁移是肺动脉栓塞后的一种罕见但严重的并发症.
- 用于栓塞的线圈可以从肺血管侵蚀到呼吸道,这带来了重大的临床挑战.
研究的目的:
- 描述一个反复出现的内支气管线圈迁移的独特案例.
- 为了突出与支气管镜去除迁移线圈相关的风险.
主要方法:
- 一个患者的病例报告,他因伪动脉瘤而接受了肺动脉栓塞.
- 在CT引导的核心针活检和EBUS-TBNA后,复发性线圈迁移的描述.
- 使用内镜剪刀和柔性支气管镜进行支气管镜切除的细节.
主要成果:
- 在两次活检手术后,患者经历了反复的内支气管线圈迁移.
- 在这两种情况下,迁移的线圈部分的支气管镜去除成功地进行了.
- 该案例强调了干预后重复迁移的可能性.
结论:
- 支气管切割和移除迁移的支气管内膜线圈是一种有效的治疗方法.
- 这种方法与反复发生的线圈迁移的风险有关.
- 潜在的并发症包括经常性迁移,血和肺炎.
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