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复杂冠状动脉血管成形术:一种用于扩张分叉处狭窄的技术。

Complex coronary angioplasty: a technique for dilatation of bifurcation stenoses.

作者信息

Pinkerton C A, Slack J D

出版信息

Angiology. 1985 Aug;36(8):543-8. doi: 10.1177/000331978503600811.

DOI:10.1177/000331978503600811
PMID:2931038
Abstract

Bifurcation stenoses have been recognized to be at "high risk" for acute closure during percutaneous transluminal coronary angioplasty. Use of the traditional single balloon technique in such situations often results in acute closure or worsening of the stenosis in the other branch. A technique utilizing simultaneous inflation of two balloons, ("kissing balloon" technique) has been utilized to avoid this complication. A double balloon technique has been developed using sequential inflations rather than simultaneous inflations to preserve the integrity of both branches while avoiding the arterial trauma produced by inflating two balloons in a small artery simultaneously. Twelve of 13 bifurcation stenoses were successfully treated with this sequential inflation double balloon technique. (Primary success rate = 92%).

摘要

分叉处狭窄被认为在经皮腔内冠状动脉成形术期间发生急性闭塞的“高危”情况。在这种情况下使用传统的单球囊技术常常导致急性闭塞或另一分支狭窄加重。一种利用两个球囊同时充气的技术(“亲吻球囊”技术)已被用于避免这种并发症。已开发出一种双球囊技术,采用顺序充气而非同时充气,以保持两个分支的完整性,同时避免在小动脉中同时充入两个球囊所产生的动脉损伤。13例分叉处狭窄中的12例通过这种顺序充气双球囊技术成功得到治疗。(主要成功率 = 92%)

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