Tebbe U, Ruschewski W, Korb H, Hoeft A, Voth E, Scholz K H, Wiegand V
Zentrum Innere Medizin, Georg-August-Universität Göttingen.
Z Kardiol. 1989 Jan;78(1):63-7.
The procedure of an autoperfusion catheterization after acute coronary occlusion by dissection during percutaneous transluminal coronary angioplasty (PTCA) is described. Multiple side holes proximal and distal to the dissection allow passive myocardial perfusion only by systemic blood pressure. In the case presented, the catheter immediately reestablished coronary blood flow and thereby produced resolution of symptoms and myocardial ischemia. This easy procedure made it possible to perform the subsequent coronary bypass operation as a controlled revascularization and it prevented myocardial necrosis.
描述了经皮腔内冠状动脉成形术（PTCA）过程中因夹层导致急性冠状动脉闭塞后进行自体灌注导管插入术的操作。夹层近端和远端的多个侧孔仅通过体循环血压实现被动心肌灌注。在本病例中，导管立即恢复了冠状动脉血流，从而缓解了症状并消除了心肌缺血。这一简便的操作使得后续能够作为可控性血运重建进行冠状动脉搭桥手术，并预防了心肌坏死。
