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两种治疗冠状动脉狭窄性扩张患者的不同成功血管成形术方法。

Two different successful angioplasty methods in patients with stenotic coronary artery ectasia.

作者信息

Oh Suk-Kyu, Rha Seung-Woon, Kook Hyungdon, Kim Dong Hyeok, Ho Seo Young, Kim Sun Hwa, Choi Cheol Ung, Oh Dong Joo

机构信息

Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea.

出版信息

Chonnam Med J. 2012 Dec;48(3):185-9. doi: 10.4068/cmj.2012.48.3.185. Epub 2012 Dec 21.

DOI:10.4068/cmj.2012.48.3.185
PMID:23323227
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3539102/
Abstract

There is no current guideline for percutaneous coronary angioplasty in stenotic ectatic coronary arteries because of the heterogeneity of the coronary artery morphology. We report two successful angioplasty cases in coronary artery ectasia with different clinical scenarios. One case showed atherosclerotic stenosis in the ectatic portion of the right coronary artery that was aggravated after a coronary artery bypass graft. In this case, balloon angioplasty alone without stenting showed acceptable results at the 6-month follow-up coronary angiography. In the other case, we used a peripheral artery balloon and stent for stenosis in the ectatic portion of a large coronary artery. Six-month follow-up coronary angiography showed excellent patency of the previously implanted peripheral stent.

摘要

由于冠状动脉形态的异质性，目前尚无针对狭窄扩张型冠状动脉进行经皮冠状动脉介入治疗的指南。我们报告了两例不同临床情况的冠状动脉扩张症患者成功接受血管成形术的病例。其中一例显示右冠状动脉扩张部位存在动脉粥样硬化性狭窄，在冠状动脉旁路移植术后病情加重。在该病例中，单纯球囊血管成形术未植入支架，在6个月的随访冠状动脉造影中显示出可接受的结果。另一例中，我们使用外周动脉球囊和支架治疗一条大冠状动脉扩张部位的狭窄。6个月的随访冠状动脉造影显示先前植入的外周支架通畅良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d0f/3539102/a2a606d84b37/cmj-48-185-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d0f/3539102/5e589870183f/cmj-48-185-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d0f/3539102/1fc0b440e81d/cmj-48-185-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d0f/3539102/7b1db75aa46c/cmj-48-185-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d0f/3539102/e5a1790c453d/cmj-48-185-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d0f/3539102/a2a606d84b37/cmj-48-185-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d0f/3539102/5e589870183f/cmj-48-185-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d0f/3539102/1fc0b440e81d/cmj-48-185-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d0f/3539102/7b1db75aa46c/cmj-48-185-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d0f/3539102/e5a1790c453d/cmj-48-185-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d0f/3539102/a2a606d84b37/cmj-48-185-g005.jpg

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