Percutaneous thrombectomy of fat embolism in-transit.

IF 0.7 Q4 SURGERY Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-12-02 eCollection Date: 2025-04-01 DOI:10.1016/j.jvscit.2024.101702
Erin Cihat Saricilar, Cartan Costello, Laurencia Villalba, Alexander Misono
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Abstract

We report the case of a previously independent 82-year-old female who experienced acute hemodynamic and respiratory deterioration requiring inotropic support due to a fat embolism during revision hip arthroplasty. Computed tomography pulmonary angiography demonstrated fat embolism, and transesophageal echocardiogram showed evidence of right ventricle strain and fat embolism in-transit in the right heart, as well as a moderate patent foramen ovale. Under transesophageal echocardiogram and intravascular ultrasound guidance, the Inari FlowTriever thrombectomy device was used successfully to retrieve the fat embolism with immediate hemodynamic improvement, no complications, and uneventful recovery.

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途中脂肪栓塞经皮取栓术。
我们报告一例先前独立的82岁女性,在髋关节置换术翻修期间,由于脂肪栓塞导致急性血液动力学和呼吸恶化,需要肌力支持。计算机断层肺血管造影显示脂肪栓塞,经食管超声心动图显示右心室张力和右心脏运输中的脂肪栓塞,以及中度卵圆孔未闭。在经食管超声心动图和血管内超声引导下,使用Inari flowtriver取栓装置成功取出脂肪栓塞,血流动力学立即改善,无并发症,恢复平稳。
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来源期刊
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.
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