Capuano Fabio, Simon Caterina, Roscitano Antonino, Sinatra Riccardo
Division of Cardiac Surgery, St. Andrea Hospital, University of Rome 'La Sapienza', Rome, Italy.
J Cardiovasc Med (Hagerstown). 2008 Nov;9(11):1140-1. doi: 10.2459/JCM.0b013e328309c951.
Entrapment and fracture of coronary angioplasty hardware are rare complications of percutaneous coronary interventions for which cardiac surgery is sometimes required. We report a case of guidewire entrapment during stenting of the left anterior descending coronary artery (LAD) that required surgical removal. Although a piece of guidewire remained entrapped inside the stent, in the proximal tract of the LAD, a single bypass using the left mammary artery was performed. No perioperative complications were observed. There were no signs of perioperative or postoperative myocardial infarction, as indicated by clinical biomarkers or by electrocardiographic changes. The patient had an uneventful recovery and was discharged from the hospital on the sixth postoperative day.
冠状动脉血管成形术器械的卡压和断裂是经皮冠状动脉介入治疗的罕见并发症，有时需要进行心脏手术。我们报告一例在左前降支冠状动脉（LAD）支架置入过程中导丝卡压的病例，该病例需要手术取出导丝。尽管有一段导丝仍卡在支架内，位于LAD的近端，但还是使用左乳内动脉进行了单支搭桥手术。未观察到围手术期并发症。临床生物标志物或心电图变化均未显示围手术期或术后心肌梗死的迹象。患者恢复顺利，术后第六天出院。
