急性导管所致闭塞性夹层后无保护左主干冠状动脉的急诊支架置入术
Emergency stenting of unprotected left main coronary artery after acute catheter-induced occlusive dissection.
作者信息
Akgul Ferit, Batyraliev Talantbek, Besnili Fikret, Karben Zarema
机构信息
Faculty of Medicine, Mustafa Kemal University, 31100 Antakya, Turkey.
出版信息
Tex Heart Inst J. 2006;33(4):515-8.
Abstract
Left main coronary artery dissection occurs very rarely during selective coronary angiography, but it generally progresses to complete coronary occlusion. The traditional treatment of occlusive dissection of the unprotected left main coronary artery has been surgical. Percutaneous treatment has been sporadic and controversial. We report a case of iatrogenic occlusive dissection of the unprotected left main coronary artery during diagnostic coronary angiography, followed by successful stenting of the lesion.
摘要
左主干冠状动脉夹层在选择性冠状动脉造影期间极少发生，但通常会进展为冠状动脉完全闭塞。对于无保护左主干冠状动脉闭塞性夹层的传统治疗方法是外科手术。经皮治疗一直较为零散且存在争议。我们报告一例在诊断性冠状动脉造影期间发生的无保护左主干冠状动脉医源性闭塞性夹层病例，随后成功对病变进行了支架置入术。
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