Division of Cardiology, Federico II University of Naples, Italy.
J Cardiovasc Med (Hagerstown). 2011 May;12(5):356-60. doi: 10.2459/JCM.0b013e328334092d.
Here we report a case of a 79-year-old woman with inferior myocardial infarction, transferred to our cath lab to perform a primary percutaneous coronary intervention (PPCI). During the procedure, a massive dissection complicated the thrombotic lesion of the right coronary artery (RCA). In this case, we decided to use the MGuard stent to treat both the large dissection and the thrombotic lesion. MGuard stent is a combination of a coronary stent merged with an embolic protection device. After multiple MGuard stent implantation we obtained a complete resolution of the coronary dissection obtaining a patent RCA with normal antegrade flow.
我们在此报告一例 79 岁女性下壁心肌梗死患者，转入我们的导管室行直接经皮冠状动脉介入治疗（PPCI）。在该过程中，右冠状动脉（RCA）血栓病变并发严重夹层。在这种情况下，我们决定使用 MGuard 支架同时处理大夹层和血栓病变。MGuard 支架是一种将冠状动脉支架与栓塞保护装置相结合的产品。在多次植入 MGuard 支架后，我们成功解决了冠状动脉夹层，使 RCA 实现完全再通，前向血流恢复正常。
