Delayed retrieval of embolized ductal stent: A surgical challenge.

IF 0.9 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Annals of Pediatric Cardiology Pub Date : 2024-01-01 Epub Date: 2024-05-24 DOI:10.4103/apc.apc_177_23
Biswa Ranjan Panda, Jayashree Mishra
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引用次数: 0

Abstract

Retrieval of embolized ductal stents from the pulmonary or systemic circulation can be challenging. Most children benefit from surgical shunts in such scenarios. Although early retrieval is advised, stents lodged in the peripheral pulmonary tree can be inaccessible, making the removal complicated. In such patients, stents can be "parked" in the segmental pulmonary arterial branches for retrieval later. In the low-pressure single ventricle pulmonary circulation, partially expanded embolized stents, if left in situ, can precipitate pulmonary arterial thrombosis. This subset of patients may benefit from meticulous anticoagulation and antiplatelet agents. In our case report, we describe the successful extraction of an embolized ductal stent without damage to the right lower lobe pulmonary artery (PA). In the follow-up evaluation, the growth of the right PA is good.

栓塞导管支架的延迟取出:手术挑战。
从肺循环或全身循环中取出栓塞的导管支架可能具有挑战性。在这种情况下,大多数患儿都能从手术分流中获益。虽然建议尽早取出支架,但由于无法进入外周肺动脉树,因此取出支架的过程会变得复杂。在这种情况下,可将支架 "停放 "在肺动脉节段分支中,以便日后取出。在低压单心室肺循环中,部分膨胀的栓塞支架如果留在原位,可能会诱发肺动脉血栓形成。这部分患者可能会从严格的抗凝和抗血小板药物中获益。在我们的病例报告中,我们成功取出了一个栓塞的导管支架,且未对右下叶肺动脉(PA)造成损伤。在随访评估中,右肺动脉生长良好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals of Pediatric Cardiology
Annals of Pediatric Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
1.40
自引率
14.30%
发文量
51
审稿时长
23 weeks
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