Ball Timothy, Banerjee Subhash, Brilakis Emmanouil S
VA North Texas Healthcare System and University of Texas Southwestern Medical Center at Dallas, Dallas, TX 75216, USA.
Cardiovasc Revasc Med. 2011 Nov-Dec;12(6):391-8. doi: 10.1016/j.carrev.2011.05.001. Epub 2011 Jul 7.
Achieving a door-to-balloon time < 90 min may be challenging in patients with ST-segment elevation acute myocardial infarction with difficult to wire coronary lesions. We report use of the Venture wire control catheter to facilitate wiring in four patients with significant tortuosity proximal to a thrombotic coronary occlusion, after conventional wiring attempts failed. Early use of the Venture catheter may help shorten the door-to-balloon time in patients with challenging to wire lesions.
对于患有ST段抬高型急性心肌梗死且冠状动脉病变难以导丝通过的患者，要实现门球时间<90分钟可能具有挑战性。我们报告了在4例冠状动脉血栓闭塞近端存在明显迂曲的患者中，在传统导丝通过尝试失败后，使用Venture导丝控制导管辅助导丝通过的情况。早期使用Venture导管可能有助于缩短具有导丝通过挑战性病变患者的门球时间。
