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[使用再入路系统对慢性股浅动脉闭塞进行内膜下再通术]

[Subintimal recanalisation of chronic superficial femoral artery occlusion with the use of a re-entry system].

作者信息

Latacz Paweł, Pieniazek Piotr, Rostoff Paweł, Musiałek Piotr, Gackowski Andrzej, Piwowarska Wiesława, Zmudka Krzysztof

机构信息

Klinika Choroby Wieńcowej, Instytut Kardiologii, Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków.

出版信息

Kardiol Pol. 2008 Oct;66(10):1121-5;discussion 1126.

Abstract

We present a case of a 59-year-old man with symptomatic long-segment occlusion of the superficial femoral artery. Subintimal recanalization was initially unsuccessful due to the inability to re-enter the true lumen after crossing the occlusion in the subintimal space. We report, for the first time in Poland, our use of the Outback catheter for a successful intraluminal re-entry. There were no procedure-related complications. We indicate that the Outback catheter can be used safely in case of an unsuccessful conventional re-entry to the true lumen artery. This catheter can allow reduction the time of the procedure and minimize potential complications.

摘要

我们报告一例59岁男性患者,其股浅动脉出现有症状的长段闭塞。由于在内膜下空间穿过闭塞段后无法重新进入真腔,最初的内膜下再通未成功。我们首次在波兰报告使用Outback导管成功进行腔内重新进入。没有与手术相关的并发症。我们指出,在传统方法无法成功重新进入真腔动脉的情况下,可以安全使用Outback导管。这种导管可以缩短手术时间并将潜在并发症降至最低。

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