Yokoyama M, Imazeki T, Suzuki O, Kurimoto Y, Shimizu Y, Watanabe K, Oda K
Department of Cardiovascular Surgery, Sekishinkai-Sayama Hospital.
Kyobu Geka. 1992 Dec;45(13):1209-11.
A 61-year-old man was operated on an emergent basis because of abrupt closure of left anterior descending coronary artery (LAD) following failed coronary angioplasty. At once abrupt closure occurred, Stack autoperfusion balloon catheter was placed across the coronary lesion to reestablish blood flow to the ischemic myocardial area with intraaortic balloon counterpulsation. Despite a longtime of 12 hours to cardiopulmonary bypass, the patient had been managed with excellent resolution of symptoms and ST elevation. Under a stable hemodynamic state, saphenous vein grafting to LAD was performed with minimal myocardial infarction. Stack catheter made it possible to perform the subsequent coronary bypass operation as a controlled, optimal revascularization procedure because of its passive autoperfusion effect.
一名61岁男性因冠状动脉血管成形术失败后左前降支冠状动脉（LAD）突然闭塞而接受急诊手术。一旦发生突然闭塞，将斯塔克自动灌注球囊导管置于冠状动脉病变处，通过主动脉内球囊反搏重新建立对缺血心肌区域的血流。尽管进行了长达12小时的体外循环，但患者症状和ST段抬高得到了很好的缓解。在血流动力学稳定的状态下，对LAD进行了大隐静脉移植，心肌梗死面积最小。由于斯塔克导管具有被动自动灌注作用，使得后续的冠状动脉搭桥手术能够作为一种可控的、最佳的血运重建程序来进行。
