一名患有成骨不全症且ST段抬高型心肌梗死患者的无鞘经桡动脉冠状动脉血管成形术。
Sheathless transradial coronary angioplasty in an achondroplasic patient with ST elevation myocardial infarction.
作者信息
Rahman Nasir, Nabi Amjad, Gul Ibrahim
机构信息
Aga Khan University, Karachi, Sindh, Pakistan.
Department of Cardiology, Aga Khan University Hospital, Karachi, Sindh, Pakistan.
出版信息
BMJ Case Rep. 2015 Oct 27;2015:bcr2015212697. doi: 10.1136/bcr-2015-212697.
Abstract
We present a case of a 50-year-old man with achondroplasia, who presented with anterior ST segment myocardial infarction (STEMI). He was taken urgently to the catheterisation laboratory. Owing to his short stature, it was not possible to insert a radial artery sheath so he underwent a sheathless primary percutaneous coronary intervention (PCI) through the right radial artery, with no complication. He was shifted to the coronary care unit and had an uneventful hospital course. He was discharged in stable condition and follows up regularly as an outpatient.
摘要
我们报告一例患有软骨发育不全的50岁男性，他出现了前壁ST段抬高型心肌梗死（STEMI）。他被紧急送往导管室。由于他身材矮小，无法插入桡动脉鞘管，因此他通过右桡动脉进行了无鞘管直接经皮冠状动脉介入治疗（PCI），未出现并发症。他被转至冠心病监护病房，住院过程平稳。他出院时病情稳定，作为门诊患者定期随访。
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