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桡动脉的手风琴现象:我们应该将桡动脉视为冠状动脉来治疗吗?

Accordion Phenomenon in the Radial Artery: Should we treat the radial as a coronary artery?

作者信息

Dahdouh Ziad S, Abdel-Massih Tony, Sarkis Antoine, Grollier Gilles

机构信息

Department of Cardiology, Centre Hospitalier Universitaire de Caen, Caen, France.

出版信息

Sultan Qaboos Univ Med J. 2014 Feb;14(1):e139-41. doi: 10.12816/0003350. Epub 2014 Jan 27.

Abstract

The accordion phenomenon is a well-known finding mechanism in the field of interventional cardiology. It is a benign condition and has mainly been described in tortuous coronary arteries during percutaneous coronary interventions. It is believed to be induced by a stiff guidewire. However, this phenomenon has not been observed previously in the radial artery. We present a case of accordion phenomenon in the radial artery, which was successfully resolved after the catheters and the wire were retrieved, with the pseudolesions found to have completely disappeared in subsequent image findings.

摘要

手风琴现象是介入心脏病学领域中一种广为人知的发现机制。它是一种良性情况,主要在经皮冠状动脉介入治疗期间在迂曲的冠状动脉中被描述。据信它是由硬导丝诱发的。然而,这种现象以前在桡动脉中尚未被观察到。我们报告一例桡动脉手风琴现象,在取出导管和导丝后成功解决,后续影像检查发现假性病变已完全消失。

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本文引用的文献

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Accordion phenomenon induced by a soft guide wire.软导丝引起的手风琴现象。
J Cardiovasc Med (Hagerstown). 2011 Jul;12(7):520-1. doi: 10.2459/JCM.0b013e328346c349.
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The accordion phenomenon.手风琴现象
Heart. 2005 Apr;91(4):471. doi: 10.1136/hrt.2004.040832.

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