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导丝被困于左前降支动脉：外科治疗

Entrapment of guidewire in left anterior descending artery: Surgical management.

作者信息

Idhrees A Mohammed, Radhakrishnan Bineesh K, Panicker Vargheese T, Pillai Vivek, Karunakaran Jayakumar

机构信息

Department of Cardiovascular and Thoracic Surgery, Sree Chitra Thirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.

出版信息

Asian Cardiovasc Thorac Ann. 2017 Jul;25(6):457-458. doi: 10.1177/0218492316638604. Epub 2016 Mar 2.

DOI:10.1177/0218492316638604
PMID:26936837
Abstract

Entrapment of a guidewire during coronary artery interventions is rare and requires prompt treatment. A 52-year-old man underwent a primary percutaneous transluminal coronary angioplasty to the left anterior descending artery. A fractured guidewire was retained in the distal left anterior descending artery, which caused left ventricular dysfunction and total occlusion of the left anterior descending artery. He underwent endarterectomy with removal of the guidewire and bypass grafting. He had a normal postoperative period. The modalities for management of an entrapped guidewire are discussed.

摘要

冠状动脉介入治疗期间导丝嵌顿罕见，需及时处理。一名52岁男性接受了左前降支冠状动脉直接经皮腔内血管成形术。一根断裂的导丝留在左前降支远端，导致左心室功能障碍及左前降支完全闭塞。他接受了内膜切除术以取出导丝并进行旁路移植术。术后恢复正常。本文讨论了处理嵌顿导丝的方法。

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引用本文的文献

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A case report of fractured guidewire removal by rotational atherectomy.旋磨术取出断裂导丝 1 例报告。
J Cardiothorac Surg. 2021 Nov 27;16(1):342. doi: 10.1186/s13019-021-01724-3.