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首页> 外文期刊>PACE: Pacing and clinical electrophysiology >Transvenous removal of an entangled central venous line following complex cardiac surgery.
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Transvenous removal of an entangled central venous line following complex cardiac surgery.

机译：复杂心脏手术后经静脉清除缠结的中心静脉线。

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摘要

Unintended internal suturing of central venous lines or pulmonary artery catheters in the superior caval vein or the right atrium following cardiac surgery remains a rare but troublesome complication. The line is normally entangled in safety or hemostasis sutures after the removal of the superior caval cannulation. If mild tension is unsuccessful, the patient normally undergoes resternotomy. The objective of this brief communication is to describe of a simple and safe removal method using a transvenous rotational cutting device to divide the hemostasis suture. In order to avoid complicating bleeding, a time delay between initial placement and removal is highly recommended. For extraction, a fully equipped cardiovascular operating room with central venous and arterial lines, attached defibrillator pads, transesophageal echo monitoring, fluoroscopy, and a surgical team, including a heart and lung machine and a perfusionist standby, is mandatory.
机译：在心脏手术后，意外地在上腔静脉或右心房中对中心静脉线或肺动脉导管进行内部缝合仍然是一种罕见但麻烦的并发症。去除上腔静脉插管后，通常将该线缠绕在安全或止血缝合线中。如果轻微的张力不成功，则患者通常会进行再切开术。本简短交流的目的是描述一种使用静脉旋转切割装置划分止血缝合线的简单安全的切除方法。为了避免使出血复杂化，强烈建议在初次放置和取出之间有一定的时间延迟。为了进行提取，必须配备一个配备有中央静脉和动脉管路，连接的除颤器垫，经食道回声监测，荧光检查以及包括心脏和肺部机器以及一个灌注器备用设备的外科团队的设备齐全的心血管手术室。

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