血管内栓塞治疗支气管内出痰的肺动脉栓塞线圈一例报告。

IF 0.5

A&A Practice Pub Date : 2023-02-01 DOI:10.1213/XAA.0000000000001663

Jesse M Crawford, Priya P Patel, Aaron R DuCoffe, Michael Tsai, John A Hodgson

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引用次数: 0

摘要

肺动脉动脉瘤通常采用血管内栓塞治疗。线圈栓塞的罕见但严重的并发症是线圈的侵蚀和迁移到邻近的气道，造成大咯血的风险。我们报告的情况下，医学复杂的病人与左主肺动脉动脉瘤治疗线圈栓塞谁最终经历了经支气管迁移和吐痰的线圈。我们讨论了这些严重并发症的麻醉和外科治疗的挑战性，包括使用血管内塞来闭塞糜烂部位和远端气道。

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Endovascular Plug for Endobronchial Management of an Expectorated Pulmonary Artery Embolization Coil: A Case Report.

Pulmonary artery aneurysms are frequently managed with endovascular embolization. Rare but serious complications of coil embolization are erosion and migration of the coils into the adjacent airways, posing a risk for massive hemoptysis. We report the case of a medically complex patient with a left main pulmonary artery aneurysm treated with coil embolization who ultimately experienced transbronchial migration and expectoration of the coil. We discuss the challenging anesthetic and surgical management of these serious complications, including the use of an endovascular plug to occlude the erosion site and distal airways.

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来源期刊

A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.