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累及药物洗脱支架的感染性假性动脉瘤。

Infected pseudoaneurysm involving a drug-eluting stent.

作者信息

Furtado Arul Dominic, Bhat Seetharama P S, Peer Syed Murfad, Chikkatur Raghavendra

机构信息

Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore 560069, India.

出版信息

Interact Cardiovasc Thorac Surg. 2011 Apr;12(4):636-7. doi: 10.1510/icvts.2010.257337. Epub 2011 Jan 12.

DOI:10.1510/icvts.2010.257337
PMID:21228044
Abstract

Stent infection following percutaneous transluminal coronary angioplasty is rare. We present such a case involving a drug-eluting stent placed in the left anterior descending coronary artery that was managed surgically with removal of the stent with concomitant coronary artery bypass grafting. Early surgical intervention directed at removal of the infected stent, debridement and distal vessel revascularisation is recommended to deal with the infection and prevent myocardial compromise.

摘要

经皮冠状动脉腔内血管成形术后支架感染较为罕见。我们报告了这样一例病例,患者左前降支冠状动脉置入药物洗脱支架后发生感染,通过手术取出支架并同时进行冠状动脉旁路移植术进行治疗。建议早期进行手术干预,取出感染的支架、清创并实现远端血管再血管化,以处理感染并防止心肌受损。

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