[采用逆行入路成功实现右冠状动脉慢性完全闭塞病变再通]
[Successful recanalisation of RCA CTO using retrograde approach].
作者信息
Król Marek, Skwarna Bartosz, Buszman Paweł
机构信息
I Oddział Kardiologiczno-Angiologiczny, Polsko-Amerykańskie Kliniki Serca, 43-450 Ustroń.
出版信息
Kardiol Pol. 2009 Mar;67(3):326-9; discussion 330.
A 51-year-old female two years after CABG presented with unstable angina and inferior wall ischaemia. Coronary angiography revealed occluded graft to RCA and chronic total occlusion of RCA with good collateral flow from distal LAD to RCA. The CTO was successfully crossed and dilated through epicardial collaterals from distal LAD (retrograde approach). Finally, antegrade angioplasty with two stents implantation was performed achieving TIMI 3 flow.
一名51岁女性在冠状动脉旁路移植术（CABG）两年后出现不稳定型心绞痛和下壁缺血。冠状动脉造影显示右冠状动脉（RCA）移植血管闭塞，RCA慢性完全闭塞，左前降支（LAD）远端有良好的侧支血流供应至RCA。通过LAD远端的心外膜侧支成功穿过并扩张了慢性完全闭塞病变（逆向入路）。最后，进行了顺向血管成形术并植入两枚支架，实现了心肌梗死溶栓治疗（TIMI）3级血流。
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