通过皮肤从右心室中提取迁移的栓塞线圈
Inderjeet Bharaj1, Ei Ei Thwe2, Inderjeet Padda3
1Department of Internal Medicine, Abrazo Health Network, Glendale, Arizona, USA.
JACC. Case reports
|December 15, 2025
概括
迁移的阴道静脉栓塞线圈存在风险,但可以使用先进的多式联络技术安全地检索. 这一案例突出了使用吸入和机械捕获成功的检索,避免了手术.
科学领域:
- 干预性放射学 干预性放射学
- 心血管外科心血管外科
- 血管医学 血管医学
背景情况:
- 阴道静脉栓塞线圈向心脏的迁移是一种罕见但严重的并发症.
- 潜在的并发症包括血栓形成,感染和心脏穿孔.
研究的目的:
- 为了描述从右心室成功取回迁移的阴道静脉栓塞线圈.
- 突出多式联机检索技术的有效性.
主要方法:
- 一名27岁的女性患者在栓塞两年后出现胸痛.
- 图像检测证实了右心室中一个迁移的线圈.
- 通过大腿骨和内关节接入,采用了气球辅助捕捉和AngioVac吸入技术的组合.
主要成果:
- 在没有碎片化的情况下,成功地检索了迁移的线圈.
- 患者没有任何残留碎片或并发症,顺利康复.
- 多式联运方法在复杂的检索场景中被证明是有效的.
结论:
- 迁移线圈的内皮化可能会使皮肤取复杂化.
- 综合志向和机械捕获的多式联运战略提高了成功率.
- 先进的穿皮技术可以安全地检索迁移的栓塞线圈,可能避免手术.
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