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冠状动脉内导丝断裂并遗留纤维丝导致致命性亚急性支架内血栓形成。

Fatal subacute stent thrombosis induced by guidewire fracture with retained filaments in the coronary artery.

机构信息

Division of Cardiology, Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

出版信息

Korean Circ J. 2013 Nov;43(11):761-5. doi: 10.4070/kcj.2013.43.11.761. Epub 2013 Nov 30.

DOI:10.4070/kcj.2013.43.11.761
PMID:24363752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3866316/
Abstract

During percutaneous coronary intervention, guidewire fractures are very exceptionally encountered in medical practice, but can cause fatal complications such as intracoronary thrombus formation, embolization and perforation. Removal of the remnant segments of guidewire is important for the prognosis. There are several methods being recommended for the treatment of fractured guidewire remnants. However, the best treatment of remnant guidewire filament is still unclear. Herein, we present a case where we did not completely remove remnant guidewire filaments that caused fatal coronary thrombosis.

摘要

在经皮冠状动脉介入治疗中，导丝断裂在医学实践中非常罕见，但可导致致命并发症，如冠状动脉内血栓形成、栓塞和穿孔。取出残余的导丝段对于预后很重要。目前有几种方法推荐用于治疗断裂的导丝残余物。然而，残余导丝丝的最佳治疗方法仍不清楚。在此，我们报告了 1 例未完全取出残余导丝丝导致致命性冠状动脉血栓形成的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08bb/3866316/0d23448ce218/kcj-43-761-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08bb/3866316/22bb3bf91c1c/kcj-43-761-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08bb/3866316/20998f18e868/kcj-43-761-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08bb/3866316/56ecf903fb65/kcj-43-761-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08bb/3866316/1be470b29e46/kcj-43-761-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08bb/3866316/0d23448ce218/kcj-43-761-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08bb/3866316/22bb3bf91c1c/kcj-43-761-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08bb/3866316/20998f18e868/kcj-43-761-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08bb/3866316/56ecf903fb65/kcj-43-761-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08bb/3866316/1be470b29e46/kcj-43-761-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08bb/3866316/0d23448ce218/kcj-43-761-g005.jpg

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