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因过度的诊断性导管操作导致微栓塞,进而引起右冠状动脉闭塞。

Occlusion of right coronary artery by microembolization caused by excessive diagnostic catheter manipulation.

作者信息

Salem Salem A, Haji Showkat, Garg Nadish, Khouzam Rami N, Jagadish Pooja, Alsafwah Shadwan

机构信息

Department of Cardiovascular Diseases, University of Tennessee Health Science Center, Memphis, TN, USA.

Department of Internal Medicine, University of Tennessee Health Science Center, Memphis, TN, USA.

出版信息

Ann Transl Med. 2018 Jan;6(1):20. doi: 10.21037/atm.2017.12.22.

DOI:10.21037/atm.2017.12.22
PMID:29404366
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5787718/
Abstract

With advancing technology and newer therapeutic and diagnostic techniques, physicians are now encountering new complications or increasing frequency of known complications than before. left cardiac catheterization and coronary angiography is not an exception. As transradial cardiac catheterization is now becoming more popular, operators should be more aware of related challenges and limitations associated. Tortuous right bracheocephalic artery is an anatomical variance that makes radial catheterization more difficult, and may indeed add additional time and risk to the procedure and patient, respectively. Hence, we present this case report.

摘要

随着技术的进步以及更新的治疗和诊断技术的出现,如今医生遇到的新并发症或已知并发症的发生频率比以往更高。左心导管插入术和冠状动脉造影也不例外。由于经桡动脉心脏导管插入术现在越来越普遍,操作人员应更加了解与之相关的挑战和局限性。右头臂动脉迂曲是一种解剖变异,会使桡动脉导管插入术更加困难,并且实际上可能分别给手术和患者增加额外的时间和风险。因此,我们呈现此病例报告。

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本文引用的文献

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Barriers for transradial coronary angiography and interventions in 2016.2016年经桡动脉冠状动脉造影及介入治疗的障碍
Cardiovasc Revasc Med. 2017 Apr-May;18(3):221-225. doi: 10.1016/j.carrev.2016.11.005. Epub 2016 Nov 10.
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Radial versus femoral access for elderly patients with acute coronary syndrome undergoing coronary angiography and intervention: insights from the RIVAL trial.老年急性冠状动脉综合征患者冠状动脉造影和介入治疗时桡动脉与股动脉入路:来自RIVAL试验的见解
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Guidewire withdrawal in ascending aorta increases cerebral microembolism during coronary angiography: a randomized comparison of two guidewire techniques.冠状动脉造影期间升主动脉内导丝回撤会增加脑微栓塞:两种导丝技术的随机比较
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Risk of acute brain injury related to cerebral microembolism during cardiac catheterization performed by right upper limb arterial access.经右上肢体动脉通路进行心脏导管插入术期间与脑微栓塞相关的急性脑损伤风险。
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Cerebral infarction: incidence and risk factors after diagnostic and interventional cardiac catheterization--prospective evaluation at diffusion-weighted MR imaging.脑梗死:诊断性和介入性心导管检查后的发病率及危险因素——磁共振扩散加权成像的前瞻性评估
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