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左前降支冠状动脉血管成形术后左主干冠状动脉狭窄的进展。

Progression of left main coronary artery stenosis following left anterior descending coronary artery angioplasty.

作者信息

Harper J M, Shah Y, Kern M J, Vandormael M G

机构信息

St. Louis University School of Medicine, Missouri.

出版信息

Cathet Cardiovasc Diagn. 1987 Nov-Dec;13(6):398-400. doi: 10.1002/ccd.1810130607.

DOI:10.1002/ccd.1810130607
PMID:2961453
Abstract

Although recent clinical experience indicates a high success rate, percutaneous transluminal coronary angioplasty (PTCA) is still associated with serious complications which usually occur during or shortly after the procedure and are principally related to the lesion or segment of vessel being dilated. We report 2 cases of subacute progression within months of left main stenosis following successful, uncomplicated left anterior descending (LAD) coronary PTCA. Identification of left main trunk involvement may mandate earlier follow-up or intervention.

摘要

尽管近期的临床经验表明经皮腔内冠状动脉成形术(PTCA)成功率很高,但它仍与严重并发症相关,这些并发症通常发生在手术期间或术后不久,主要与正在扩张的血管病变或节段有关。我们报告了2例成功进行无并发症的左前降支(LAD)冠状动脉PTCA后数月内左主干狭窄亚急性进展的病例。识别左主干受累情况可能需要更早进行随访或干预。

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