一个栓塞的左心室尾闭塞装置的晚期混合检索:一个案例和文献审查
John P Birrane1, Michael Killian2, Gregory Offiah1
1Department of Cardiology, St James's Hospital, Dublin, Ireland.
JACC. Case reports
|February 12, 2026
概括
在左心房尾阻塞 (LAAO) 后的晚期器官栓塞很少见,但可能危及生命. 复原时可能需要混合皮肤外科手术方法,当组织内生长阻止完全的皮肤外科提取时.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗器械技术 医疗器械技术
背景情况:
- 在左心房附属体封闭 (LAAO) 后的设备栓塞是一种罕见但严重的并发症.
- 这种并发症可能导致危及生命的事件.
研究的目的:
- 报告LAAO后晚期器械栓塞的情况.
- 讨论设备栓塞的挑战和管理与显著的组织内生长.
- 为了突出混合检索策略的实用性.
主要方法:
- 一名72岁的男性在Amplatzer Amulet LAAO后2年中风.
- 图像扫描扫描揭示了横向大动脉门中的装置.
- 使用ONO篮子系统进行皮肤检索的尝试由于组织内生长而失败.
- 进行了一种混合方法,包括通过皮肤检索到门动脉,然后通过内动脉切除术进行外科切除.
主要成果:
- 植入后2年,LAAO装置发生栓塞,导致中风.
- 由于广泛的组织结合,皮肤取受到了阻碍.
- 通过下脉动切除术进行外科切除是成功的,避免了椎切除.
- 对20个先前病例的审查显示,检索时间长达18个月,主要是穿皮.
结论:
- 晚期LAAO器件栓塞可能会随着显著的组织内生长而发生,从而使皮肤采集复杂化.
- 混合皮肤外科手术检索是当完全皮肤外科提取失败时可行的和安全的替代方案.
- 这种情况将LAAO设备栓塞的已知间隔延长到2年.
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