Sinha Santosh Kumar, Madaan Amit, Thakur Ramesh, Pandey Umeshwar, Bhagat Kush, Punia Surendra
Department of Cardiology, LPS Institute of Cardiology, G.S.V.M. Medical College, G. T. Road, Kanpur, Uttar Pradesh 208002, India.
Cardiol Res. 2015 Feb;6(1):236-238. doi: 10.14740/cr373w. Epub 2015 Feb 9.
Coronary air embolism remains a recognized complication of coronary catheterization despite a strong emphasis on prevention. It is almost always iatrogenic. It occurs mostly when catheters used for vascular procedures have not been adequately aspirated and flushed. Current treatment consists of supportive measures with 100% oxygen and analgesia and use of aspiration catheter. Here we report a case of massive coronary air embolism of left anterior descending artery and left circumflex artery because of loose Y-adapter connection during percutaneous coronary intervention. Patient suddenly developed hypotension, chest pain, ST elevation and finally asystole. Simple vigorous aspiration was done through guiding catheter restoring the flow and finally successful intervention. Thus simple aspiration can also do the wonder as bail-out measures in the standard treatment of air embolism.
尽管一直大力强调预防，但冠状动脉空气栓塞仍是冠状动脉导管插入术公认的并发症。它几乎总是医源性的。大多发生在用于血管手术的导管未充分抽吸和冲洗时。目前的治疗方法包括给予100%氧气和镇痛的支持措施以及使用抽吸导管。在此，我们报告一例经皮冠状动脉介入治疗期间因Y形接头连接松动导致左前降支和左旋支冠状动脉发生大量空气栓塞的病例。患者突然出现低血压、胸痛、ST段抬高，最终心脏停搏。通过引导导管进行简单有力的抽吸恢复了血流，最终成功完成介入治疗。因此，在空气栓塞的标准治疗中，简单的抽吸作为补救措施也能产生奇效。
