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.
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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