Micovic S V, Nezic D, Mangovski L, Djukanovic B, Vukovic P
Cardiovascular Institute Dedinje, Belgrade, Serbia.
Thorac Cardiovasc Surg. 2009 Apr;57(3):153-5. doi: 10.1055/s-2008-1039270. Epub 2009 Mar 27.
Cardiac surgeons are treating an increasing number of patients after different sorts of complications occurring during various percutaneous procedures. Wire entrapment has been described in the literature and numerous maneuvers have been developed to solve this complication. If they fail, surgical management is absolutely indicated. In such cases the operation can be very demanding. After hardware removal the artery quality is usually unsatisfactory and endarterectomy with adjacent revascularization is mandatory. We report a case in which we used a termino-terminal interposition of the greater saphenous vein to restore a disintegrated part of the coronary artery.
心脏外科医生正在治疗越来越多在各种经皮手术过程中出现不同类型并发症后的患者。文献中已描述了导丝嵌顿情况，并且已开发出多种操作方法来解决这一并发症。如果这些方法失败，绝对需要进行外科治疗。在这种情况下，手术可能非常复杂。取出硬件后，动脉质量通常不尽人意，必须进行内膜切除术并进行相邻血管重建。我们报告了一例使用大隐静脉端端插入术来修复冠状动脉破损部分的病例。
