Pulmonary complications of the flow-directed balloon-tipped catheter.
Pulmonary complications of the flow-directed balloon-tipped catheter.
复制标题
血流导向球囊导管的肺部并发症。
DOI：
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发表时间：
1974
影响因子：
158.5
通讯作者：
M. Hodges
中科院分区：
文献类型：
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作者：
G. Foote;S. Schabel;M. Hodges
对125例使用导向球囊导管的患者进行的回顾性分析显示，9例（7.2%）患者的肺缺血性病变似乎是使用导管的直接结果。肺缺血的机制包括导管尖端持续楔入外周动脉（6例），膨胀球囊阻塞更中央的肺动脉（1例），以及导管周围静脉血栓形成引起的肺栓塞（2例）。意识到发生导管自发楔入的趋势以及使用后球囊内可能残留空气，应减少这些并发症的发生率。（《新英格兰医学杂志》290：927-931，1974）
Abstract Retrospective analysis of the course of 125 patients in whom flow-directed balloon-tipped catheters were employed showed that in nine (7.2 per cent), pulmonary ischemic lesions appeared to have occurred as a direct result of the use of the catheter. Mechanisms of the pulmonary ischemia included persistent wedging of the catheter tip in a peripheral artery (six cases), obstruction of a more central pulmonary artery by an inflated balloon (one case), and pulmonary embolism from venous thrombosis developing around the catheter (two cases). Awareness of the tendency for spontaneous wedging of the catheter to occur and of the possibility of air remaining in the balloon after use should reduce the frequency of these complications. (N Engl J Med 290:927–931, 1974)