Hernandez-Antolin R A, Banuelos C, Alfonso F, Escaned J, Fernandez-Ortiz A, Sabaté M, Amador E, Macaya C
Servicio de Cardiologia Intervencionista, Hospital Universitario San Carlos, C/Martin Lagos s/n, Madrid, 28040, Spain.
J Invasive Cardiol. 2000 Nov;12(11):589-93.
A patient developed severe hemodynamic compromise after saphenous vein graft rupture during high-pressure coronary stent deployment. Immediate balloon inflation followed by implantation of a polytetrafluoroethylene-covered stent solved the problem. The next day, follow-up angiography confirmed persistent sealing of the rupture site. Clinical and angiographic features of vessel rupture during coronary angioplasty as well as several therapeutic options for this complication are discussed.
一名患者在高压冠状动脉支架置入过程中出现大隐静脉移植物破裂，随后发生严重血流动力学障碍。立即进行球囊扩张，随后植入聚四氟乙烯覆膜支架解决了该问题。次日，随访血管造影证实破裂部位持续封闭。本文讨论了冠状动脉血管成形术期间血管破裂的临床和血管造影特征以及针对该并发症的几种治疗选择。
