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导丝断裂,遗留残丝于左前降支冠状动脉和主动脉。

A case of guide wire fracture with remnant filaments in the left anterior descending coronary artery and aorta.

机构信息

Department of Internal Medicine, Chonbuk National University Medical School, Jeonju, Korea.

出版信息

Korean Circ J. 2010 Sep;40(9):475-7. doi: 10.4070/kcj.2010.40.9.475. Epub 2010 Sep 30.

Abstract

Guide wire fractures during percutaneous coronary intervention (PCI) are very rare, but when they do occur they may lead to life-threatening complications, such as embolization, thrombus formation and perforation. In cases when percutaneous retrieval has failed, surgical extraction of the remnant fragments is recommended. We present a case of remnant guide wire filaments that remained in place without complications, over a one-year clinical follow up period.

摘要

经皮冠状动脉介入治疗(PCI)过程中导丝断裂非常罕见,但一旦发生,可能导致危及生命的并发症,如栓塞、血栓形成和穿孔。在经皮取出失败的情况下,建议进行残余碎片的外科取出。我们报告了一例在一年的临床随访期间,残余导丝丝留在原位且无并发症的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33b2/2957644/bad200309869/kcj-40-475-g001.jpg

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