Haase K K, Baumbach A, Voelker W, Kühlkamp V, Karsch K R
Medizinische Klinik, Eberhard-Karls-Universität Tübingen.
Z Kardiol. 1991 Mar;80(3):230-3.
A 56-year-old patient with recurrent episodes of angina pectoris at rest was admitted for left-heart catheterization. The coronary angiogram revealed two-vessel disease with a subtotal stenosis in the circumflex artery and a long 90% stenosis in the proximal part of the left anterior descending artery. On the basis of symptoms and coronary morphology laser angioplasty was performed. After a total of 99 s of energy delivery extravasation of dye occurred at the site of ablation. Due to acute vessel occlusion subsequent PTCA was performed, resulting in a satisfactory angiographic result. Extravasation of dye was terminated after PTCA and was absent at short-term follow-up angiography. No signs of pericardial effusion were detectable by two-dimensional and M-mode echocardiography. A control angiogram disclosed the identical result the day after the acute intervention, and the patient could be discharged with a normal exercise test 1 week later.
一名56岁的静息性心绞痛反复发作患者因进行左心导管插入术而入院。冠状动脉血管造影显示双支血管病变，回旋支动脉存在次全狭窄，左前降支动脉近端有一段90%的长狭窄。基于症状和冠状动脉形态进行了激光血管成形术。在总共输送99秒能量后，消融部位出现染料外渗。由于急性血管闭塞，随后进行了经皮冠状动脉腔内血管成形术（PTCA），血管造影结果令人满意。PTCA后染料外渗停止，短期随访血管造影时未见染料外渗。二维和M型超声心动图未检测到心包积液迹象。急性干预后第二天的对照血管造影显示结果相同，患者1周后运动试验正常，随后出院。
