摘要
Puroose:Intracardiac embolization of catheter fragments,andiatrogenic,and other foreign bodies,such as stents,intracardiacformation of knots in catheters,malpositioning of intracardiaccatheters,and thrombi formation in intracardiac catheters arc seriouscomplications of catbeterization techniques,associated with highmorbidity and mortality.Material and Metbods:We performed percutaneous retrieval ofintracardiac catheters and iatrogenic foreign bodies(n=40),unknottingof catheter knots(n=4),repositioning of malpositioned catheters(n=31),and stripping of catheters(n=25),in 100 adults and children.Interveotional equipment used included:retrieval baskets,retrievalwire loops,deflector wires,retrieval forceps,and differentangiographic catheters,alone or in combination.Results:Retrieval of catheter fragments and iatrogenic foreign bodieswas successful in 38 patients.There were 3 failures:an IVC filter,acatheter,ans a Wallstent,lodged in the right atrium.Unknotting ofcatheter knots,repositioning of misplaced catheters,and stripping ofcatheters was successful in all patients.There were no majorcomplications.Minor complications were infrequent.Cinclusions:These procedures are quick,safe,and effective tomanage potentially serious complications of percutaneouscatheterization techniques.Dialysis and other central catheters andports can be functional for longer periods.A major operation to solvethese problems,which may include open heart surgery,is avoided.
Puroose:Intracardiac embolization of catheter fragments,and iatrogenic,and other foreign bodies,such as stents,intracardiac formation of knots in catheters,malpositioning of intracardiac catheters,and thrombi formation in intracardiac catheters arc serious complications of catbeterization techniques,associated with high morbidity and mortality. Material and Metbods:We performed percutaneous retrieval of intracardiac catheters and iatrogenic foreign bodies(n=40),unknotting of catheter knots(n=4),repositioning of malpositioned catheters (n=31),and stripping of catheters(n=25),in 100 adults and children. Interveotional equipment used included:retrieval baskets,retrieval wire loops,deflector wires,retrieval forceps,and different angiographic catheters,alone or in combination. Results:Retrieval of catheter fragments and iatrogenic foreign bodies was successful in 38 patients.There were 3 failures:an IVC filter,a catheter,ans a Wallstent,lodged in the right atrium.Unknotting of catheter knots,repositioning of misplaced catheters,and stripping of catheters was successful in all patients.There were no major complications.Minor complications were infrequent. Cinclusions:These procedures are quick,safe,and effective to manage potentially serious complications of percutaneous catheterization techniques.Dialysis and other central catheters and ports can be functional for longer periods.A major operation to solve these problems,which may include open heart surgery,is avoided.
出处
《中国介入心脏病学杂志》
1998年第4期188-188,共1页
Chinese Journal of Interventional Cardiology
