从上主动脉中移除第三代左心房尾闭塞装置,使用一种新的内血管技术
Chase Green1, Snehita Bonthu2, Timothy C Oskin2,3
1University of North Texas Health Science Center, Texas College of Osteopathic Medicine, Fort Worth, TX.
Journal of vascular surgery cases and innovative techniques
|October 13, 2025
概括
一个左心房附属物封闭装置 (LAAOD) 栓塞到大动脉被成功地使用微创内血管技术去除. 这一案例表明了管理LAAOD并发症的新方法,避免了开放式手术.
科学领域:
- 心血管医学 心血管医学
- 干预心脏病学 干预心脏病学
- 医疗器械技术 医疗器械技术
背景情况:
- 左心房附属物封闭装置 (LAAODs) 对心房患者中风预防至关重要,这些患者有抗凝药的禁忌.
- 器件栓塞是LAAOD植入的罕见但严重的并发症.
- 栓塞的LAAOD的管理通常需要复杂的手术干预.
研究的目的:
- 报告一个成功的血管内检索的栓塞的第三代LAAOD.
- 为了说明管理LAAOD对上主动脉栓塞的最小侵入性方法.
- 突出皮肤采集在避免开放手术的可行性.
主要方法:
- 一个病例呈现了一个无症状,栓塞的LAAOD患者.
- 使用穿皮的右大腿静脉通道.
- 使用腹腔镜活检抓取器来检索设备.
主要成果:
- 成功地从上主动脉内移除栓塞的LAAOD.
- 在整个手术和康复过程中,患者仍然无症状.
- 避免更具侵入性的开放外科手术程序.
结论:
- 使用腹腔镜活检抓取器进行内血管检索是管理LAAOD栓塞的可行和有效选择.
- 最少侵入性技术可以成功治疗LAAOD栓塞,降低患者的发病率.
- 这种方法为选择的设备栓塞病例提供了对开放手术的更安全的替代方案.
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