Direct Percutaneous Access to the Cervical Portion of the Thoracic Duct, an Alternative to Traditional Access through the Cisterna Chyli
| Autor: | Jarrod MacFarlane, Anil K. Pillai, Alvin Anene, Stephen P. Reis |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Aortic arch
medicine.medical_specialty business.industry Forceps Cisterna chyli medicine.disease Right pulmonary artery Thoracic duct Surgery medicine.anatomical_structure Superior vena cava medicine.artery cardiovascular system Patent foramen ovale medicine Radiology Nuclear Medicine and imaging Cardiology and Cardiovascular Medicine business Bioptome |
| Zdroj: | Journal of Vascular and Interventional Radiology. 26:1902-1904 |
| ISSN: | 1051-0443 |
| DOI: | 10.1016/j.jvir.2015.08.021 |
| Popis: | forceps introduced via the superior vena cava (3). The opposing actions of the snare and the forceps facilitated slenderization of the device and its retraction into a sheath (3). An ASO has also been retrieved from the right pulmonary artery by using a snare to pull the device into a sheath by its RARD screw (4). Other techniques include retrieval of the occluder plug through the patent foramen ovale following migration into the left atrium (2). In the present case, the device passed through the mitral and aortic valves and lodged in the distal aortic arch. The patient avoided emergency open-heart surgery because of this clinically innocuous position, but it was this position that impeded retrieval with bioptome forceps. However, by using the loop snare to bow the forceps, the 24-mm ASO was retrieved. This case highlights the use of a bow-string technique to provide directional control of the inherently rigid bioptome forceps, and illustrates how the technique was paramount to the successful retrieval of the dislodged ASO. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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