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急性ST段抬高型心肌梗死合并心源性休克患者的旋磨术

Rotational Atherectomy in a Patient with Acute ST-Elevation Myocardial Infarction and Cardiogenic Shock.

作者信息

Showkathali Refai, Sayer Jeremy W

机构信息

Department of Cardiology, The Essex Cardiothoracic Centre, Essex, United Kingdom.

出版信息

Int J Angiol. 2013 Sep;22(3):203-6. doi: 10.1055/s-0033-1347898.

DOI:10.1055/s-0033-1347898
PMID:24436613
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3770977/
Abstract

Rotational atherectomy (rotablation) of coronary artery is relatively contraindicated in high thrombotic state such as acute ST-elevation myocardial infarction (STEMI) because of the risk of platelet activation by the rotablator. We present a case where rotablation was necessary to recanalize the right coronary artery in a patient presenting with acute STEMI complicated by cardiogenic shock, after unsuccessful attempts with balloon catheters. He improved remarkably after the procedure and was discharged after 4 days.

摘要

由于旋磨器有激活血小板的风险，冠状动脉旋磨术在高血栓形成状态（如急性ST段抬高型心肌梗死（STEMI））中相对禁忌。我们报告一例急性STEMI合并心源性休克患者，在球囊导管尝试失败后，为使右冠状动脉再通而必须进行旋磨术的病例。术后患者明显好转，并于4天后出院。

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本文引用的文献

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Comparison of frequency of complications with on-label versus off-label use of rotational atherectomy.比较经批准适应证与超适应证使用旋磨术治疗的并发症发生频率。
Am J Cardiol. 2012 Aug 15;110(4):498-501. doi: 10.1016/j.amjcard.2012.04.021. Epub 2012 May 12.
2
Desperate times, desperate measures: rotablating dissections in acute myocardial infarction.
J Invasive Cardiol. 2011 Sep;23(9):E226-8.
3
Rotational atherectomy to facilitate stent expansion after deployment in ST-segment-elevation myocardial infarction.旋磨术用于促进支架在ST段抬高型心肌梗死中植入后扩张。
Am Heart Hosp J. 2010 Summer;8(1):66-9. doi: 10.15420/ahhj.2010.8.1.66.
4
Rotational coronary atherectomy in acute ST-segment elevation myocardial infarction.
J Interv Cardiol. 2005 Aug;18(4):315-8. doi: 10.1111/j.1540-8183.2005.00057.x.