Omori Hiroyuki, Kawase Yoshiaki, Tanigaki Toru, Matsuo Hitoshi
Division of Cardiology, Gifu Heart Center, 4-14-4 Yabutaminami, Gifu-shi, Gifu-ken, 500-8384, Japan.
Cardiovasc Interv Ther. 2017 Jul;32(3):269-273. doi: 10.1007/s12928-016-0413-1. Epub 2016 Jul 18.
A 56-year-old male was admitted to our hospital complaining of chest pain. The patient had chronic kidney disease requiring a minimum contrast procedure when performing percutaneous coronary intervention. A jailed wire technique is known to reduce the risk of side branch occlusion. We report a case measuring the presence of ischemia in the side branch (SB) by a jailed Opto Wire (Opsens, Quebec) after implantation of a stent in the main vessel for the treatment of a bifurcation lesion. This method provides for a decrease in usage of contrast without leaving the side branch at risk of ischemia.
一名56岁男性因胸痛入院。该患者患有慢性肾脏病，在进行经皮冠状动脉介入治疗时需要尽量减少造影剂用量。已知“拘禁导丝”技术可降低侧支闭塞的风险。我们报告了一例在主血管植入支架治疗分叉病变后，使用拘禁式光学导丝（Opsens，魁北克）测量侧支（SB）缺血情况的病例。该方法在不使侧支面临缺血风险的情况下减少了造影剂的使用。
