1例在左前降支冠状动脉介入治疗期间发生的右冠状动脉延迟闭塞性夹层。
A case of delayed occlusive dissection of the right coronary artery during coronary intervention of the left anterior descending artery.
作者信息
Nagata Yoshiki, Maruyama Michiro, Aburadani Isao, Hirazawa Motoaki, Mayumi Takuya, Usuda Kazuo
机构信息
Division of Cardiology, Department of Internal Medicine, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae, Toyama, Toyama, 930-8550, Japan,
出版信息
Cardiovasc Interv Ther. 2015 Apr;30(2):155-61. doi: 10.1007/s12928-014-0265-5. Epub 2014 Apr 23.
Catheter-induced coronary artery dissection occurs rarely during selective coronary angiography but generally progresses to complete coronary occlusion. We present a case of delayed occlusive dissection of the right coronary artery during coronary intervention of the left anterior descending artery. Bailout stenting was employed to treat the giant hematoma quickly using a unique technique. The use of two guidewires created a high probability that the true lumen was selected, and aspiration of the hematoma with the microcatheter and indeflator effectively repaired a catheter-induced coronary artery dissection.
导管诱发的冠状动脉夹层在选择性冠状动脉造影期间很少发生，但通常会进展为冠状动脉完全闭塞。我们报告一例在左前降支冠状动脉介入治疗期间发生的右冠状动脉延迟闭塞性夹层病例。采用了一种独特的技术，通过紧急置入支架快速治疗巨大血肿。使用两根导丝极大地提高了选择真腔的可能性，并且用微导管和血管内球囊抽吸取出血肿有效地修复了导管诱发的冠状动脉夹层。
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