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冠状动脉支架置入术后的医源性冠状动脉狭窄

Iatrogenic coronary artery stenosis following coronary stenting.

作者信息

Hamby R I, Petrossian G A, Lituchy A E

机构信息

Department of Medicine, The Heart Center, St. Francis Hospital, Roslyn, New York 11576, USA.

出版信息

Catheter Cardiovasc Interv. 1999 Apr;46(4):393-7; discussion 398. doi: 10.1002/(SICI)1522-726X(199904)46:4<393::AID-CCD1>3.0.CO;2-A.

Abstract

We present 6-month follow-up of 435 patients undergoing stent deployment. Forty-four patients were referred because of myocardial ischemia related to the stented artery. In six of these patients (14%), the stented vessel revealed a new proximal lesion separated from the stented portion, which warranted further intervention. It is felt that these new lesions are related to the stenting technique as a result of local trauma induced from the guiding catheter.

摘要

我们对435例行支架植入术的患者进行了6个月的随访。44例患者因与支架置入动脉相关的心肌缺血而被转诊。在这些患者中,有6例(14%)的支架血管显示出一个与支架部分分离的新的近端病变,这需要进一步干预。据认为,这些新病变与支架置入技术有关,是由引导导管引起的局部创伤所致。

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