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单纯球囊治疗钙化冠状动脉病变中生物可吸收支架再狭窄后的两年光学相干断层扫描结果:一例报告

Two-year Optical Coherence Tomography Findings after Balloon-Only Treatment of Bioresorbable Scaffold Restenosis in a Calcified Coronary Lesion: A Case Report.

作者信息

Allali Abdelhakim, Abdel-Wahab Mohamed, Richardt Gert

机构信息

Heart Center, Segeberger Kliniken GmbH, Academic Teaching Hospital for the Universities of Kiel, Lübeck and Hamburg, Bad Segeberg, Germany.

出版信息

Cardiol Ther. 2016 Dec;5(2):223-228. doi: 10.1007/s40119-016-0068-0. Epub 2016 Jul 29.

Abstract

We report a case of a 65-year-old female patient treated with an everolimus-eluting bioresorbable scaffold (BRS) after rotational atherectomy of a severely calcified lesion of the left anterior descending coronary artery. The implanted BRS restenosed 10 months after implantation and was treated with a scoring balloon followed by drug-eluting balloons with good immediate and long-term results. To the best of our knowledge, this is the first report of a balloon-only treatment of a restenosis occurring more than 6 months after BRS implantation; angiographic and optical coherence tomography images after treatment and at two-year follow-up are presented.

摘要

我们报告了一例65岁女性患者,该患者在对左前降支冠状动脉严重钙化病变进行旋磨术之后,接受了依维莫司洗脱生物可吸收支架(BRS)治疗。植入的BRS在植入后10个月出现再狭窄,随后先用刻痕球囊治疗,再使用药物洗脱球囊治疗,取得了良好的即刻和长期效果。据我们所知,这是首例关于仅使用球囊治疗BRS植入后6个月以上发生的再狭窄的报告;文中展示了治疗后及两年随访时的血管造影和光学相干断层扫描图像。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a86/5125110/02a15020a620/40119_2016_68_Fig1_HTML.jpg

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