经皮冠状动脉介入治疗期间冠状动脉穿孔的发生率、处理及结局
Incidence, management, and outcome of coronary artery perforation during percutaneous coronary intervention.
作者信息
Gruberg L, Pinnow E, Flood R, Bonnet Y, Tebeica M, Waksman R, Satler L F, Pichard A D, Kent K M, Leon M B, Lindsay J
机构信息
Section of Cardiology, Washington Hospital Center, DC 20010, USA.
出版信息
Am J Cardiol. 2000 Sep 15;86(6):680-2, A8. doi: 10.1016/s0002-9149(00)01053-5.
We have analyzed the incidence, management, and outcome of 84 cases of coronary artery perforation in patients who underwent percutaneous coronary intervention at our institution. This complication was more frequent in female patients and in patients who underwent lesion modification with atheroablative devices. A total of 8 patients (9.5%) died after the procedure. They were usually older and had a higher incidence of cardiac tamponade; a larger percentage of these patients underwent emergency surgery than those who survived.
我们分析了在我院接受经皮冠状动脉介入治疗的患者中84例冠状动脉穿孔的发生率、处理情况及预后。这种并发症在女性患者以及接受粥样斑块消融装置病变修饰的患者中更为常见。共有8例患者（9.5%）术后死亡。他们通常年龄较大，心脏压塞的发生率较高；与存活患者相比，这些患者中接受急诊手术的比例更大。
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