成功进行急诊手术血运重建并取出被困药物洗脱支架。

Successful emergent surgical revascularization and retrieval of entrapped drug eluting stent.

作者信息

Bruschi Giuseppe, Colombo Paola, Piccalò Giacomo, Trunfio Salvatore, Colombo Tiziano, Vitali Ettore

机构信息

A De Gasperis Cardiology and Cardiac Surgery Department, Niguarda Ca' Granda Hospital, Milan, Italy.

出版信息

J Cardiovasc Med (Hagerstown). 2008 Feb;9(2):182-3. doi: 10.2459/JCM.0b013e3281053ae3.

DOI:10.2459/JCM.0b013e3281053ae3

PMID:18192812

Abstract

We report the case of a 61-year-old man who was treated with percutaneous coronary intervention (PCI) for unstable angina. Seven days after the procedure, he voluntary suspended double anti-aggregant therapy and experienced acute coronary thrombotic occlusion. A repeat PCI procedure was undertaken but the stent and the balloon remained entrapped in the proximal left main-left anterior descending coronary artery. After ineffective attempt of stent removal using an Amplatz goose neck catheter, the patient that was hemodynamically stable underwent uneventful emergency coronary artery bypass grafting and removal of the damaged stent and Amplatz goose neck.

摘要

我们报告了一例61岁男性患者，因不稳定型心绞痛接受经皮冠状动脉介入治疗（PCI）。术后7天，他自行停用双联抗血小板治疗，随后发生急性冠状动脉血栓闭塞。再次进行了PCI手术，但支架和球囊被困在左主干-左前降支冠状动脉近端。在使用Amplatz鹅颈导管取出支架的尝试失败后，血流动力学稳定的患者顺利接受了急诊冠状动脉旁路移植术，并取出了受损的支架和Amplatz鹅颈导管。