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冠状动脉穿孔并发经皮冠状动脉介入治疗——病例说明与综述

Coronary Perforation Complicating Percutaneous Coronary Intervention - A Case Illustration and Review.

作者信息

Chin Yong Ang, Wei Chieh Jack Tan

机构信息

Department of Cardiology, National Heart Centre Singapore, Singapore, Singapore.

出版信息

ASEAN Heart J. 2013;21(2):3. doi: 10.7603/s40602-013-0002-9.

DOI:10.7603/s40602-013-0002-9
PMID:26316662
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4544476/
Abstract

Coronary perforation is a potentially fatal complication during percutaneous coronary intervention (PCI). Reports have shown that it occurs in 0.2 to 0.6% of all patients undergoing the procedures. [1-3] Though the frequency of coronary perforation is low, it is a serious and potentially life-threatening situation that warrants prompt recognition and management. Here we illustrate a case of coronary perforation, and review the incidence, causes, clinical sequelae and management of coronary perforation in the current contemporary practice.

摘要

冠状动脉穿孔是经皮冠状动脉介入治疗（PCI）期间一种潜在的致命并发症。报告显示，在所有接受该手术的患者中，其发生率为0.2%至0.6%。[1-3] 尽管冠状动脉穿孔的发生率较低，但它是一种严重且可能危及生命的情况，需要及时识别和处理。在此，我们举例说明一例冠状动脉穿孔病例，并回顾当前现代实践中冠状动脉穿孔的发生率、原因、临床后果及处理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3f9/4544476/df851fd7b128/40602_2013_2_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3f9/4544476/635089e1d59d/40602_2013_2_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3f9/4544476/c609cb88cb4a/40602_2013_2_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3f9/4544476/b6d5f98c1259/40602_2013_2_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3f9/4544476/df851fd7b128/40602_2013_2_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3f9/4544476/635089e1d59d/40602_2013_2_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3f9/4544476/c609cb88cb4a/40602_2013_2_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3f9/4544476/b6d5f98c1259/40602_2013_2_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3f9/4544476/df851fd7b128/40602_2013_2_Fig4_HTML.jpg

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Clin Med Insights Case Rep. 2023 Jun 21;16:11795476231183318. doi: 10.1177/11795476231183318. eCollection 2023.

本文引用的文献

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Covered stents for coronary perforations: is there enough evidence?带膜支架治疗冠状动脉穿孔：证据充分吗？
Catheter Cardiovasc Interv. 2011 Aug 1;78(2):246-53. doi: 10.1002/ccd.23017. Epub 2011 Jul 15.
2
Coronary perforation: an inconvenient complication.冠状动脉穿孔：一种棘手的并发症。
JACC Cardiovasc Interv. 2011 Jan;4(1):96-7. doi: 10.1016/j.jcin.2010.09.021.
3
Incidence, predictors, management, immediate and long-term outcomes following grade III coronary perforation.III 级冠状动脉穿孔的发生率、预测因素、处理、即刻和长期结局。
JACC Cardiovasc Interv. 2011 Jan;4(1):87-95. doi: 10.1016/j.jcin.2010.08.026.
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Dual catheter technique for the treatment of severe coronary artery perforations.双导管技术治疗严重冠状动脉穿孔。
Catheter Cardiovasc Interv. 2010 Apr 1;75(5):708-12. doi: 10.1002/ccd.22331.
5
Incidence, risk factors, management and outcomes of coronary artery perforation during percutaneous coronary intervention.经皮冠状动脉介入治疗中心冠状动脉穿孔的发生率、危险因素、处理和结局。
Am J Cardiol. 2009 Dec 15;104(12):1674-7. doi: 10.1016/j.amjcard.2009.07.048.
6
Coronary artery perforation in patients undergoing percutaneous coronary intervention: a single-centre report.经皮冠状动脉介入治疗患者的冠状动脉穿孔：一项单中心报告。
Acute Card Care. 2009;11(4):216-21. doi: 10.1080/17482940903254207.
7
Changing outcomes and treatment strategies for wire induced coronary perforations in the era of bivalirudin use.在比伐卢定使用时代，导丝引起的冠状动脉穿孔的转归和治疗策略的改变。
Catheter Cardiovasc Interv. 2009 Nov 1;74(5):700-7. doi: 10.1002/ccd.22112.
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Coronary artery perforations in the contemporary interventional era.冠状动脉穿孔在当代介入时代。
J Interv Cardiol. 2009 Aug;22(4):350-3. doi: 10.1111/j.1540-8183.2009.00469.x.
9
Collagen embolization for the successful treatment of a distal coronary artery perforation.
Catheter Cardiovasc Interv. 2009 Feb 15;73(3):332-5. doi: 10.1002/ccd.21823.
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Management and outcomes of coronary artery perforation during percutaneous coronary intervention.经皮冠状动脉介入治疗期间冠状动脉穿孔的管理与结局
Am J Cardiol. 2006 Oct 1;98(7):911-4. doi: 10.1016/j.amjcard.2006.04.032. Epub 2006 Aug 7.