Sheldon导管插入右颈总动脉抽吸血栓切除术治疗急性缺血性脑卒中1例

P. Antosik, M. Filus, M. Błaszyk, R. Juszkat
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引用次数: 0

摘要

使用大口径导管的意外颈动脉插管是中心静脉导管插入的并发症之一,在1%的手术中有报道。动脉导管插入术的管理包括直接手动压迫、血管内治疗和开放手术修复。不小心的动脉插管会导致出血、假性动脉瘤、动静脉瘘、中风或死亡。机械清除血栓物质是目前治疗中风最有效的方法。快速、早期恢复血流对改善神经系统状况至关重要。本报告描述了一例患者在使用球囊填塞进行意外颈动脉导管插入术后出现严重中风症状。成功地进行了抽吸血栓切除术来治疗急性脑缺血。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management of acute ischaemic stroke due to Sheldon catheter insertion into the right common carotid artery using the aspiration thrombectomy: a case report
Accidental carotid cannulation using a large-bore catheter is one of the complications of central venous catheter insertion, reported in 1 % of performed procedures. Management of arterial catheterization contains direct manual compression, endovascular treatment, and open surgical repair. Inadvertent arterial cannulation can lead to hemorrhage, pseudoaneurysm, arteriovenous fistula, stroke or death. Mechanical removal of thrombotic material is presently the most effective method of stroke treatment. Rapid and early restoration of blood flow is crucial for the improvement of the neurological condition. This report describes a case of a patient with signs of severe stroke after management of accidental carotid catheterization using balloon tamponade. Aspiration thrombectomy was successfully performed to manage acute ischaemia of the brain.
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