我应该如何治疗一位取出断裂被困侧支导丝的患者？
How should I treat a patient to remove a fractured jailed side branch wire?
机构信息
Regional Medical Cardiology Centre, Royal Victoria Hospital, Belfast, Northern Ireland, United Kingdom.
出版信息
EuroIntervention. 2011 Aug;7(4):520-7. doi: 10.4244/EIJV7I4A83.
BACKGROUND
A 53-year-old female was sent for diagnostic angiography after successful reperfusion therapy for an anterior ST-elevation myocardial infarct. The culprit lesion was a LAD/D1 bifurcation stenosis.
INVESTIGATIONS
Coronary angiography, intravascular ultrasound.
DIAGNOSIS
Left anterior descending artery/first diagonal artery bifurcation stenosis, fractured jailed side branch wire.
TREATMENT
Provisional stenting strategy for bifurcation stenosis. Consideration of surgical and percutaneous options to retrieve fractured, jailed, side branch wire. Wire and balloon catheter wrap technique for retrieval of fractured wire.
背景
一名 53 岁女性在前壁 ST 段抬高型心肌梗死成功再灌注治疗后被转介行诊断性血管造影。罪犯病变为左前降支/第一对角支分叉狭窄。
检查
冠状动脉造影、血管内超声。
诊断
左前降支/第一对角支分叉狭窄，被困边支导丝断裂。
治疗
分叉狭窄的临时支架置入策略。考虑手术和经皮方法以取出断裂、被困的边支导丝。采用导丝和球囊导管包裹技术取出断裂导丝。
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