[采用微创方法清除主动脉中的残留导丝:一例病例报告]。

Q4 Medicine Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-06-01
Kosuke Niwa, Hiroshi Nishikawa, Daisuke Ueda, Keigo Yamashita
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引用次数: 0

摘要

一位 80 岁的老人 4 年前在导管实验室发生意外,导致一根导丝插入他的主动脉。他最近开始感到精神痛苦,并接受了冠状动脉造影术,结果发现导丝被夹住,三条主要冠状动脉都有明显狭窄。经导管技术无法取出导丝。因此,经过慎重考虑,我们决定通过微创手术方法而不是胸骨正中切开术取出被夹住的导丝。术后过程顺利。虽然手术方法应根据每个病例的具体情况而定,但微创方法不失为去除缠绕导丝的一种选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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[Residual Guidewire Removal in the Aorta Using Minimally Invasive Approach:Report of a Case].

An 80-year-old man had a guidewire in his aorta since catheter laboratory accident 4 years ago. He recently started to suffer mental distress and underwent coronary angiography that revealed an entrapped guidewire and significant stenoses in each of three major coronary arteries. The guidewire could not be removed using transcatheter technique. Thus, after careful consideration, we decided to perform entrapped guidewire removal through minimally invasive surgical approach instead of median sternotomy. Post-operative course was uneventful. Although surgical approach should be tailored in each case, minimally invasive approach can be a choice for entrapped guidewire removal.

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