一种使用裸金属支架封堵严重冠状动脉穿孔的更简单方法。
A simpler approach to seal severe coronary perforation with bare metal stent.
作者信息
Dhakam Sajid, Rahman Nasir
机构信息
Department of Medicine, Aga Khan University Hospital, Karachi, Pakistan.
出版信息
BMJ Case Rep. 2010 Oct 1;2010:bcr0620091954. doi: 10.1136/bcr.06.2009.1954.
Abstract
The case of a coronary artery perforation in which overinflation of a balloon at an angulated segment of the left anterior descending (LAD) artery after stent deployment resulted in an Ellis type III coronary artery perforation is presented. A bare metal stent (BMS) was used successfully to seal this high-grade perforation. Here, it is demonstrated that it may not be illogical to consider BMS as the first choice before embarking on use of a covered stent if the clinical/haemodynamic condition of the patient allows it and if a covered stent is not available.
摘要
本文介绍了一例冠状动脉穿孔病例，在左前降支（LAD）动脉支架置入后，在成角节段过度充盈球囊导致了埃利斯III型冠状动脉穿孔。一枚裸金属支架（BMS）成功用于封堵这一高级别穿孔。在此表明，如果患者的临床/血流动力学状况允许且没有覆膜支架可用，在开始使用覆膜支架之前将BMS视为首选可能并非不合理。
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