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使用紫杉醇洗脱支架成功治疗覆膜支架移植物的支架内再狭窄。

Successful treatment of in-stent restenosis of a covered stent graft with a paclitaxel-eluting stent.

作者信息

Thani Khalid Bin, Bennett William E, Ravandi Amir, Tsimikas Sotirios

机构信息

Interventional Cardiology and Cardiovascular Catheterization Lab, UCSD Medical Center, 200 West Arbor Drive, San Diego, CA, USA.

出版信息

J Cardiol Cases. 2011 May 4;4(1):e13-e15. doi: 10.1016/j.jccase.2011.03.008. eCollection 2011 Aug.

Abstract

We present the case of a 58-year-old male with coronary artery disease and a significant stenosis of the left circumflex artery that was preceded by a coronary aneurysm. The stenosis and aneurysm were treated successfully with a coronary stent graft. The patient subsequently developed in-stent restenosis (ISR). The ISR was then successfully treated with a paclitaxel-eluting stent (PES). The patient has been followed clinically for 4-6 years without recurrence of his anginal symptoms. This is the first description in the literature of which we are aware of the successful treatment of an ISR of a coronary stent graft with a PES with persistent long-term clinical effectiveness.

摘要

我们报告了一例58岁男性患者,患有冠状动脉疾病,左旋支动脉存在严重狭窄,且之前有冠状动脉瘤。该狭窄和动脉瘤通过冠状动脉支架移植物成功治疗。患者随后发生了支架内再狭窄(ISR)。然后用紫杉醇洗脱支架(PES)成功治疗了ISR。该患者已接受临床随访4至6年,心绞痛症状未复发。据我们所知,这是文献中首次描述用PES成功治疗冠状动脉支架移植物的ISR并具有持续长期临床疗效。

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Covered stents: a review.覆膜支架:综述
Int J Cardiol. 2008 Nov 28;130(3):310-8. doi: 10.1016/j.ijcard.2008.04.083. Epub 2008 Jul 30.
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