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医源性冠状动脉夹层导致侧支闭塞:应用血管内超声使血管再通。

Iatrogenic coronary dissection causing flush side branch occlusion: use of intravascular ultrasound to reopen vessel.

机构信息

Cardiology Registrar, Manchester Heart Centre, Manchester Royal Infirmary, Manchester, UK.

出版信息

J Interv Cardiol. 2012 Apr;25(2):170-3. doi: 10.1111/j.1540-8183.2011.00661.x. Epub 2011 May 17.

DOI:10.1111/j.1540-8183.2011.00661.x
PMID:21585546
Abstract

Iatrogenic complications present a major challenge to the interventional cardiologist. We describe a case of extensive right coronary artery dissection caused by engagement of a 0.035" guidewire. Attempts to reopen the flush-occluded posterior descending artery using conventional methods were unsuccessful. However, the vessel was successfully restored with the use of intravascular ultrasound guidance and we describe the steps involved in this technique.

摘要

医源性并发症对介入心脏病学家来说是一个重大挑战。我们描述了一例由 0.035"导丝引起的广泛右冠状动脉夹层的病例。尝试使用传统方法重新开通闭塞的后降支均未成功。然而,使用血管内超声引导成功地恢复了血管,我们描述了该技术的具体步骤。

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