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先天性心脏病法乐氏四联症婴幼儿,行外科矫治术,关胸后拔除20G单腔左房测压静脉管(长20 cm)发现头端断裂,行X线可见测压管随血流进入右下肺动脉分支远段(长约4 cm),拟行内科介入取出,经颈内静脉途径,送入鹅颈抓捕器,无法套取目标导管,经球囊锚定法,改变导管位置,目标导管到位右肺动脉开口,更换抓捕器过程中导管随血流到上肺动脉近段,成功抓捕出断裂导管。
Congenital heart disease tetralogy of life infants and young children underwent surgical correction, removal of the 20G single-chamber left atrial pressure after the chest closed intravenous (length 20 cm) found that the first end of the fracture, line X-ray tube can be seen with the blood Flow into the distal segment of the right lower pulmonary artery (length of about 4 cm), the proposed medical intervention removed through the internal jugular vein into the gooseneck catcher, can not get the target catheter, the balloon anchoring method to change the catheter position , The target catheter right pulmonary artery opening in place, the process of replacing the catheter with the blood flow to the proximal pulmonary artery, the successful capture of the fracture catheter.