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推送导管残端进入冠状动脉树:操作并发症?也许吧,但有时需要取出残端。

Pushing a catheter remnant into the coronary tree: complication of the procedure? Maybe, but sometimes the fragment needs to be removed.

出版信息

Int J Cardiol. 2011 May 19;149(1):e18-20. doi: 10.1016/j.ijcard.2009.03.037. Epub 2009 Apr 1.

DOI:10.1016/j.ijcard.2009.03.037
PMID:19339065
Abstract

Patients with catheter fragments that were entrapped during percutaneous transluminal coronary angioplasty remain a particular challenge because little is known about the clinical outcome. Absolutely unique is the partially cutting of the dilator and the pushing of the fragment by the guidewire advancing into the femoral artery to the coronary tree. We describe this exceptionally complication with a complete coronary obstruction and an anterior myocardial infarction sustained by the retained fragment into the left main branch.

摘要

经皮腔内冠状动脉血管成形术过程中发生的被嵌顿的导管碎片的患者仍然是一个特殊的挑战,因为人们对其临床结果知之甚少。完全独特的是扩张器的部分切割和导丝推进到股动脉到冠状动脉树的过程中推动碎片。我们描述了这种极其严重的并发症,即由于碎片保留在左主干内而导致完全冠状动脉阻塞和前壁心肌梗死。

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Int J Cardiol. 2011 May 19;149(1):e18-20. doi: 10.1016/j.ijcard.2009.03.037. Epub 2009 Apr 1.
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