一个新的诱惑变体与气球辅助支架稳定:GRASP技术
Adrien Jossart1, Gregor Leibundgut2, Giuseppe Colletti3
1Department of Cardiology, CHU Helora, Jolimont Hospital, La Louvière, Belgium.
JACC. Case reports
|March 13, 2026
概括
导线被困在有支架的血管中是一种严重的并发症. 一种新的GRASP (辅助支架保护引导提取) 技术成功地提取了被困的导线,保持了支架的完整性.
科学领域:
- 干预心脏病学 干预心脏病学
- 血管外科 血管外科
- 医疗器械技术 医疗器械技术
背景情况:
- 导线被困在带有支架的外周血管中是穿皮冠状动脉干预期间罕见但危险的并发症.
- 涉及与植入金属结构相互作用的设备相关机制增加了风险.
研究的目的:
- 描述一种新的救助策略,用于管理复杂的导线被困在支臂脑干中.
- 评估GRASP技术在具有挑战性的临床场景中的有效性和安全性.
主要方法:
- 一名70岁的妇女在左主穿皮冠状动脉干预期间经历了一种不可逆转的导线被困在臂脑干支支架内.
- 传统的回收方法失败了,需要一个救助策略.
- 采用了GRASP (辅助支架保护引导提取) 技术,该技术结合了二次大腿骨接入,气球辅助支架 anchoring和辐射 snaring.
主要成果:
- 通过GRASP技术,可以控制地提取被困的导线.
- 在整个检索过程中,支架的完整性得到了维护.
- 这种方法成功地管理了与设备相关的复杂陷场景,而传统方法失败了.
结论:
- 与设备相关的导线被困带来了风险,包括假肢变形和血管损伤.
- 在GRASP技术中使用的气球辅助稳定和双向控制可以在复杂的情况下促进安全检索.
- GRASP技术为具有挑战性的与设备相关的导线检索提供了一个可行的救助选项.
相关概念视频
Rocket Propulsion in Gravitational Field - I
Rockets range in size from small fireworks that ordinary people use to the enormous Saturn V that once propelled massive payloads toward the Moon. The propulsion of all rockets, jet engines, deflating balloons, and even squids and octopuses are explained by the same physical principle: Newton's third law of motion. The matter is forcefully ejected from a system, producing an equal and opposite reaction on what remains.
The motion of a rocket in space changes its velocity (and hence its...
The motion of a rocket in space changes its velocity (and hence its...
Rocket Propulsion in Gravitational Field - II
A rocket's velocity in the presence of a gravitational field is decreased by the amount of force exerted by Earth's gravitational field, which opposes the motion of the rocket. If we consider thrust, that is, the force exerted on a rocket by the exhaust gases, then a rocket's thrust is greater in outer space than in the atmosphere or on a launch pad. In fact, gases are easier to expel in a vacuum.
A rocket's acceleration depends on three major factors, consistent with the equation for the...
A rocket's acceleration depends on three major factors, consistent with the equation for the...
Newton's Law of Gravitational Attraction
Sir Isaac Newton established the universality of the law of gravitational attraction based on empirical evidence and inductive reasoning. He published his work in Philosophiae Naturalis Principia Mathematica ("the Principia") on July 5, 1687.
Newton's law of gravitational attraction is a fundamental law of physics that governs the attraction between objects. It states that the magnitude of the gravitational force between any two objects is proportional to their masses and inversely proportional...
Newton's law of gravitational attraction is a fundamental law of physics that governs the attraction between objects. It states that the magnitude of the gravitational force between any two objects is proportional to their masses and inversely proportional...
Centrifugal Force
Pseudo forces, or fictitious forces, appear to act on an object in motion in a rotating frame of reference with respect to an inertial reference frame. These forces are not real forces but rather mathematical constructs and are introduced to simplify calculations in a non-inertial frame while using Newton's laws of motion. Common examples of pseudo forces include centrifugal, Coriolis, and Euler forces. These forces are essential in fields such as mechanics, astrophysics, and fluid dynamics,...
Gravitational Force
In the years before Newton, a general belief prevailed that different laws governed objects in the sky than objects on Earth. When Kepler wrote down the three laws of planetary motion, explaining in detail the geometrical properties of the planetary orbits around the Sun, there was no immediate idea to discern their connection with more fundamental laws. It was Isaac Newton who, in 1665–66, figured out the connection between planetary motion, the motion of the moon around the Earth, and the...
Buoyancy and Stability for Submerged and Floating Bodies
In fluid mechanics, buoyancy and stability are key concepts for understanding the behavior of submerged and floating bodies. When a stationary body is fully or partially submerged in a fluid, the fluid exerts a force on the body known as the buoyant force. This force acts vertically upward through a point called the center of buoyancy, which is the center of the displaced fluid volume. According to Archimedes' principle, the magnitude of the buoyant force is equal to the weight of the fluid...


