Farb A, Banks A K, Robinowitz M, Fistel S, Virmani R
Department of Cardiovascular Pathology, Armed Forces Institute of Pathology, Washington, DC 20306-6000.
Hum Pathol. 1991 Jan;22(1):97-8. doi: 10.1016/0046-8177(91)90070-6.
A case of arterial dissection of the right coronary artery secondary to angioplasty guidewire manipulation is presented. No balloon inflation was performed. The histologic appearance of the involved arterial segment was similar to that found in the left anterior descending coronary artery, which had undergone successful balloon dilatation. Both arteries demonstrated medial disruption and fibrointimal proliferation. The pathologic features of angioplasty-induced vascular injury may occur with or without balloon inflation.
本文报告1例因血管成形术导丝操作继发右冠状动脉动脉夹层的病例。未进行球囊扩张。受累动脉节段的组织学表现与成功进行球囊扩张的左前降支冠状动脉相似。两条动脉均表现为中层破坏和纤维内膜增生。血管成形术所致血管损伤的病理特征可在球囊扩张或未扩张的情况下出现。
