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GuideZilla导引导管的一种独特并发症以及介入和血管内干预中支架剥离的风险。

A unique complication of the GuideZilla guide extension support catheter and the risk of stent stripping in interventional & endovascular interventions.

作者信息

Waggoner Thomas, Desai Harit, Sanghvi Kintur

机构信息

Department of Interventional Cardiology and Endovascular Medicine, Deborah Heart & Lung Center, Browns Mills, NJ, USA.

Department of Interventional Cardiology and Endovascular Medicine, Deborah Heart & Lung Center, Browns Mills, NJ, USA.

出版信息

Indian Heart J. 2015 Jul-Aug;67(4):381-4. doi: 10.1016/j.ihj.2015.04.018. Epub 2015 May 23.

DOI:10.1016/j.ihj.2015.04.018
PMID:26304575
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4561789/
Abstract

Supporting catheters in percutaneous stenting of anatomically difficult coronary lesions are utilized by interventional cardiologists. The GuideZilla guide extension catheter is designed for deep seating in coronary arteries to provide extra guidance support for equipment delivery during difficult coronary interventions or for coaxial alignment in tortuous vessels. There are limited GuideZilla-related complications reported in the literature. We present a challenging case of a left main and left anterior descending artery dissection, complicated with stent stripping off the delivery balloon by the GuideZilla support catheter.

摘要

介入心脏病专家在对解剖结构复杂的冠状动脉病变进行经皮支架置入时会使用支撑导管。GuideZilla引导延长导管设计用于深入冠状动脉，在复杂冠状动脉介入治疗期间为设备输送提供额外的引导支持，或用于在迂曲血管中实现同轴对齐。文献中报道的与GuideZilla相关的并发症有限。我们报告了一例具有挑战性的病例，即左主干和左前降支动脉夹层，并发支架被GuideZilla支撑导管从输送球囊上剥离。

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本文引用的文献

1
A unique complication with use of the GuideLiner catheter in percutaneous coronary interventions and its successful management.在经皮冠状动脉介入治疗中使用GuideLiner导管的一种独特并发症及其成功处理。
J Invasive Cardiol. 2014 Apr;26(4):E42-4.
2
Left main coronary artery bidirectional dissection caused by ejection of guideliner catheter from the guiding catheter.导引导管内推送导引钢丝导管导致左主干冠状动脉双向夹层。
Catheter Cardiovasc Interv. 2013 Sep 1;82(3):E215-20. doi: 10.1002/ccd.24864. Epub 2013 Mar 25.
3
The Guideliner: Keeping your procedure on track or derailing it?《指南制定者：使你的手术步入正轨还是使其偏离正轨？》
Catheter Cardiovasc Interv. 2012 Sep 1;80(3):451-2. doi: 10.1002/ccd.24572.
4
Challenges associated with use of the GuideLiner catheter in percutaneous coronary interventions.经皮冠状动脉介入治疗中使用GuideLiner导管相关的挑战。
J Invasive Cardiol. 2012 Jul;24(7):370-1.
5
Guideliner catheter--friend or foe?导引导管——是敌是友？
Catheter Cardiovasc Interv. 2012 Sep 1;80(3):447-50. doi: 10.1002/ccd.23261. Epub 2011 Dec 12.
6
The GuideLiner "child" catheter for percutaneous coronary intervention - early clinical experience.
J Invasive Cardiol. 2010 Oct;22(10):495-8.