慢性肢体缺血后逆行从肺区取出导丝碎片的非常规方法

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-01-15 DOI:10.1016/j.jvscit.2025.101732

Leonardo Pasquetti MD, Edoardo Pasqui MD, Giuseppe Galzerano MD, Elisa Lazzeri MD, Giulia Casilli MD, Gianmarco de Donato MD

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引用次数: 0

摘要

术中血管内装置骨折和移位是一种罕见的并发症，具有潜在的灾难性后果。在一名75岁女性患者中，逆行穿刺股浅动脉导致意外股静脉穿刺和金属丝涂层碎裂。碎片向上迁移到左肺动脉的叶下分支，并再次在第一次检索期间迁移到右肺动脉。最后的取出是通过在碎片周围缠绕三根0.014″导线进行的，并由血栓抽吸靛蓝-半影导管提供支持。在抽吸导管的支持下，三丝扭转技术对于这种严重的肺部并发症似乎是安全有效的。

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Unconventional retrieval of a guidewire fragment from the pulmonary district following retrograde access for chronic limb-threating ischemia

Intraprocedural endovascular device fracture and migration is an uncommon complication, with potential catastrophic outcomes. In a 75-year-old woman, retrograde puncture of the superficial femoral artery led to accidental femoral vein puncture and wire coating fragmentation. The fragment migrated up to a sublobar branch of the left pulmonary artery, and again to the right pulmonary artery during the first retrieval attempt. The final retrieval was performed by twisting three 0.014″ wires around the fragment, together with the support provided by the thromboaspiration Indigo-Penumbra catheter. The triple wire twisting technique supported by an aspiration catheter seems to be safe and effective for this serious pulmonary complication.

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.