通过小儿科的干预来移除血管内外体
Isabel C Sánchez-Escobar1, Miguel Á Restrepo-Arboleda2, María Isabel Palacio3
1Division of Pediatric Cardiology, CardioVID Clinic, Medellin, Colombia.
概括
使用内血管方法在儿童中检索血管内异物是非常有效和安全的. 这种微创手术方法提供了一个可取的替代手术,并发症率低,即使在新生儿中.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 干预性放射学 干预性放射学
- 血管外科 血管外科
背景情况:
- 血管内导管广泛用于儿科诊断和治疗.
- 导管骨折和迁移等并发症可以导致诸如穿孔和心律失常等严重事件.
研究的目的:
- 描述为血管内外体检索导管治疗的儿科患者.
- 评估这些程序的临床和血液动力学方面.
主要方法:
- 儿科患者 (<18岁) 的回顾性队列研究.
- 包括所有接受内血管外体提取的患者.
- 从心血管参考中心收集的数据.
主要成果:
- 血管内异物体的内血管检索的高成功率.
- 化疗导管最常被提取,通常来自右心室或脑静脉.
- 二次并发症的发病率低 (2名患者).
结论:
- 血管内检索在儿科中是一种高度有效和安全的程序.
- 并发症很少,即使在新生儿和低出生体重婴儿中也是如此.
- 最少的侵入性内血管技术是首选的,而不是手术提取.
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