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经皮冠状动脉血管成形术期间导丝引起的右冠状动脉及相邻主动脉壁夹层。

Guidewire-induced dissection of the right coronary artery and adjacent aortic wall during percutaneous coronary angioplasty.

作者信息

Hung M J, Kuo L T, Wang C H, Cherng W J

机构信息

Section of Cardiology, Department of Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan.

出版信息

Int J Clin Pract. 2002 Nov;56(9):718-9.

PMID:12469989
Abstract

We describe two patients in whom right coronary artery dissection and retrograde dissection of the sinus of Valsalva occurred during guidewire advancement for percutaneous coronary angioplasty Both patients were treated successfully by coronary stenting. These cases illustrate that contrast medium injection can detect early complications during guidewire advancement for coronary intervention.

摘要

我们描述了两名患者，他们在经皮冠状动脉成形术的导丝推进过程中发生了右冠状动脉夹层和主动脉瓣窦逆行夹层。两名患者均通过冠状动脉支架置入术成功治疗。这些病例表明，在冠状动脉介入治疗的导丝推进过程中，注射造影剂可检测早期并发症。

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引用本文的文献

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Iatrogenic Aortocoronary Dissection During Right Coronary Artery Procedures: A Systematic Review of the Published Literature.右冠状动脉手术期间医源性主动脉冠状动脉夹层：已发表文献的系统评价
J Soc Cardiovasc Angiogr Interv. 2022 Aug 27;1(6):100443. doi: 10.1016/j.jscai.2022.100443. eCollection 2022 Nov-Dec.
2
Aortic Dissection Caused by Percutaneous Coronary Intervention: 2 New Case Reports and Detailed Analysis of 86 Previous Cases.经皮冠状动脉介入治疗导致的主动脉夹层：2例新病例报告及对86例既往病例的详细分析
Tex Heart Inst J. 2016 Feb 1;43(1):52-60. doi: 10.14503/THIJ-14-4585. eCollection 2016 Feb.