Liu Chung-Pin, Ling Yen-Hung, Kao Hsien-Li
Department of Internal Medicine, Division of Cardiology, National Taiwan University Hospital.
AJNR Am J Neuroradiol. 2005 Aug;26(7):1810-2.
Endoluminal stent placement is safe and effective in the treatment of symptomatic ostial stenoses of the vertebral artery (VA) and proximal subclavian artery (SCA). However, determining the relative importance of an individual lesion on angiography is difficult when VA and SCA stenoses are concurrent. Pressure-sensing wires help in determining the functional significance of coronary artery stenosis. We present a case of ipsilateral VA and SCA stenoses in which a pressure-sensing wire was used in making interventional decisions.
腔内支架置入术治疗椎动脉(VA)和锁骨下动脉近端(SCA)有症状的开口处狭窄是安全有效的。然而,当VA和SCA狭窄同时存在时,很难在血管造影上确定单个病变的相对重要性。压力传感导丝有助于确定冠状动脉狭窄的功能意义。我们报告一例同侧VA和SCA狭窄病例,其中使用压力传感导丝来做出介入决策。