从左心室成功地通过皮肤检索出栓塞的左心室附属物塞装置
Nihar Jena1, Boney Lapsiwala2, Gayatri Bondi1
1Department of Interventional Cardiology, Marshall University, Huntington, West Virginia, USA.
JACC. Case reports
|December 12, 2025
概括
左心房尾阻塞 (LAAO) 装置栓塞是一种罕见的并发症. 在最近的一个案例中,微创性皮肤穿三环捕获成功避免了开放式心脏手术.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗器械 医疗器械
背景情况:
- 左心房尾阻塞 (LAAO) 装置为心房患者提供非抗凝替代方案.
- 器件栓塞是LAAO程序的一个罕见但严重的并发症.
- 栓塞器件通常需要进行手术检索,特别是左心室中的器件.
研究的目的:
- 报告一个成功通过皮肤检索栓塞LAAO装置的病例.
- 为了突出这一并发症的手术干预的最小入侵替代方案.
主要方法:
- 一名患者接受了标准的LAAO设备放置.
- 该装置在安置几个小时内凝血.
- 采用三环陷的综合跨septal和跨动脉方法被用于皮肤采集.
主要成果:
- 栓塞的LAAO装置已成功通过皮肤取.
- 这种手术避免了需要开放式心脏手术.
- 三环陷技术在设备检索方面被证明是有效的.
结论:
- LAAO装置栓塞是一种罕见的并发症,需要进行术后监测.
- 使用三环陷进行皮肤取是一种可行的和最少侵入性的选择.
- 这种方法在血管栓塞LAAO设备的手术干预方面具有显著的优势.
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