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经桡动脉对源自左冠窦的异常右冠状动脉进行直接血管成形术。

Transradial primary angioplasty of anomalous right coronary artery from the left sinus of Valsalva.

作者信息

Aznaouridis Konstantinos, Alahmar Albert

机构信息

Cardiology Department, Castle Hill Hospital, Hull and East Yorkshire NHS Trust, Cottingham, United Kingdom.

Cardiology Department, Castle Hill Hospital, Hull and East Yorkshire NHS Trust, Cottingham, United Kingdom.

出版信息

Indian Heart J. 2017 May-Jun;69(3):411-413. doi: 10.1016/j.ihj.2017.05.001. Epub 2017 May 8.

DOI:10.1016/j.ihj.2017.05.001
PMID:28648443
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5485440/
Abstract

Percutaneous coronary intervention (PCI) of congenitally anomalous coronary arteries may be a technically challenging procedure. There is general belief that femoral approach is associated with better chances of coronary engagement and better guide support during PCI of anomalous coronary arteries. The following case supports that radial access is effective for PCI of an aberrant right coronary artery from the left sinus of Valsalva, even in an acute setting.

摘要

先天性异常冠状动脉的经皮冠状动脉介入治疗（PCI）在技术上可能具有挑战性。人们普遍认为，在异常冠状动脉的PCI过程中，经股动脉途径与更好的冠状动脉介入机会及更好的导管支撑相关。以下病例表明，即使在急性情况下，经桡动脉途径对于发自左冠状动脉窦的异常右冠状动脉的PCI也是有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c89/5485440/9c7581a99cac/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c89/5485440/10763dcc6f94/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c89/5485440/9c7581a99cac/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c89/5485440/10763dcc6f94/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c89/5485440/9c7581a99cac/gr2.jpg

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本文引用的文献

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Anomalous right coronary artery: case series and review of literature.异常右冠状动脉：病例系列及文献综述
Cardiovasc Revasc Med. 2015 Sep;16(6):362-6. doi: 10.1016/j.carrev.2015.03.006. Epub 2015 Mar 31.
2
Coronary intervention in anomalous origin of the right coronary artery (ARCA) from the left sinus of valsalva (LSOV): a single center experience.经皮冠状动脉介入治疗起源于左冠窦的右冠状动脉异常：单中心经验
Indian Heart J. 2014 Jul-Aug;66(4):430-4. doi: 10.1016/j.ihj.2014.05.029. Epub 2014 Jul 26.
3
Direct coronary stenting through the radial approach in an anomalous coronary artery.
经桡动脉途径在冠状动脉异常情况下进行直接冠状动脉支架置入术。
Indian Heart J. 2002 Jul-Aug;54(4):422-4.
4
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J Invasive Cardiol. 2000 Sep;12(9):478-80.