在IVC中通过对侧关节下关节可偏移导管 (Contralateral Subclavian Deflectable Catheter) 直被困的双头状导管环
Apurva Popat1, Sharath Kommu1, Param Sharma1
1Department of Cardiology, Marshfield Clinic, Sanford Health, Marshfield, Wisconsin, USA.
JACC. Case reports
|January 14, 2026
概括
一种新的技术使用可通过对侧关节下关节接入通过可偏向的除导管成功解决下腔静脉 (IVC) 循环捕获的十二角管导管,提供快速的,没有陷的解决方案.
科学领域:
- 心脏病学 心脏病学
- 干预性电生理学 干预性电生理学
- 医疗器械技术 医疗器械技术
背景情况:
- 十二管导管的下腔静脉 (IVC) 循环被困可能会使电生理学程序复杂化.
- 现有的减轻影响的方法可能是繁的或无效的.
研究的目的:
- 描述一个简单的,可重复的技术来释放IVC循环陷.
- 为此目的,利用对侧关节下接入和可偏向的除导管.
主要方法:
- 在停止导管引后,通过双平面光镜确认IVC循环的捕获.
- 用8-9-F外获得对侧 (左) 关节下静脉通道.
- 先进一个可偏移的消化导管,以触及循环顶部,并运用可控的引力,以直循环进行移除.
主要成果:
- 描述的技术成功地释放了被困的双管导管.
- 该方法在解决IVC循环陷方面被证明是快速有效的.
- 导管去除不需要任何陷.
结论:
- 使用可偏向的废弃导管的逆侧下接入为IVC循环捕获提供了有效的策略.
- 这种方法提供了一种安全而有效的替代传统方法用于管理被困导管.
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