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病例报告:单纯冠状动脉准分子激光血管成形术后血管动脉瘤形成。

Case report: formation of vessel aneurysm after stand alone coronary excimer laser angioplasty.

作者信息

Preisack M B, Voelker W, Haase K K, Karsch K R

机构信息

Department of Internal Medicine, University of Tübingen, Germany.

出版信息

Cathet Cardiovasc Diagn. 1992 Oct;27(2):122-4. doi: 10.1002/ccd.1810270208.

DOI:10.1002/ccd.1810270208
PMID:1446331
Abstract

Formation of aneurysms in coronary arteries can be observed following percutaneous transluminal balloon angioplasty but has not been reported previously after coronary excimer laser angioplasty in humans. Stand alone coronary excimer laser angioplasty was performed in a 49-year-old man with a 75% left anterior descending artery stenotic lesion and exertional angina, documenting a good angiographic result postintervention. Control angiography 6 months after the procedure revealed an aneurysm distal to a 90% restenosis in the area of ablation.

摘要

经皮腔内球囊血管成形术后可观察到冠状动脉瘤的形成,但此前尚未见人体冠状动脉准分子激光血管成形术后出现冠状动脉瘤的报道。一名49岁男性,左前降支动脉有75%的狭窄病变并伴有劳力性心绞痛,接受了单纯冠状动脉准分子激光血管成形术,术后血管造影显示效果良好。术后6个月的对照血管造影显示,消融区域出现90%再狭窄,其远端有一个动脉瘤。

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Acute vessel closure following excimer laser coronary angioplasty: can we predict it?准分子激光冠状动脉成形术后急性血管闭塞:我们能预测它吗?
Clin Investig. 1993 Dec;71(12):978-84. doi: 10.1007/BF00180027.