移除大规模的左前庭尾关闭设备相关的血栓与完整的栓塞保护:一步一步的技术
Chantal Y Asselin1, Mostafa Naguib1, Konstantinos P Koulogiannis1
1Gagnon Cardiovascular Institute, Atlantic Health System, Morristown, New Jersey, USA.
JACC. Case reports
|March 12, 2026
概括
与设备相关的血栓 (DRT) 在左心房附属体关闭后构成重大风险. 一种新的技术使用跨导管真空辅助血栓切除术与完整的栓塞保护有效地去除DRT,并防止全身栓塞.
科学领域:
- 心血管干预 心血管干预
- 医疗器械技术 医疗器械技术
- 血栓形成的管理
背景情况:
- 设备相关血栓 (DRT) 是左心房附属体关闭后的一种严重并发症.
- 超导管真空辅助血栓切除术是一种用于大DRT切除的新方法,但具有栓塞风险.
研究的目的:
- 描述一个完整的栓塞保护在真空辅助血栓切除术的详细技术DRT.
- 提出一个安全有效的策略来管理危及生命的DRT.
主要方法:
- 部署双边大脑栓塞保护装置.
- 在大动脉中放置一个ONO检索装置,以保护全身栓塞.
- 在左前庭进行吸血血栓切除术时,穿过脑膜并插入吸管导管.
主要成果:
- 精细的吸血对于防止血栓性物质脱落至关重要.
- 转食管回声心电图用于评估ONO篮子对栓塞碎片的评估.
- 考虑长期的口服抗凝药,如果耐受.
结论:
- 跨septal transcatheter真空辅助血栓切除术与全面的栓塞保护是一种安全有效的治疗方法.
- 这种策略成功地预防了生命危险的DRT患者的血栓栓塞并发症.
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