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鼻中隔血肿:逆向慢性完全闭塞病变经皮冠状动脉介入治疗的一种罕见但可能严重的并发症。

Septal Hematoma: A Rare But Potentially Serious Complication of Retrograde CTO-PCI.

作者信息

Jackson Matthew W P, Lee David, Egred Mohaned

机构信息

Cardiac Department, Freeman Hospital, Newcastle-upon-Tyne, NE7 7DN, United Kingdom.

出版信息

J Invasive Cardiol. 2019 Mar;31(3):E47-E48. doi: 10.25270/jic/18.00253.

DOI:10.25270/jic/18.00253
PMID:30819978
Abstract

The uptake of CTO-PCI and the use of the hybrid approach have increased widely; this has resulted in a new set of complications, some of which are unusual, particularly with the retrograde approach. We present a case of a rare complication of septal collateral perforation resulting in the formation of septal hematoma that fortunately on this occasion did not result in any significant clinical deterioration, and was managed conservatively with a successful outcome. However, on other occasions, the outcome can be more serious.

摘要

慢性完全闭塞病变经皮冠状动脉介入治疗(CTO-PCI)的应用及杂交手术方式的使用已广泛增加;这导致了一系列新的并发症,其中一些并不常见,尤其是逆行手术方式。我们报告一例罕见的间隔支穿孔并发症,导致间隔血肿形成,幸运的是此次并未导致任何显著的临床恶化,经保守治疗获得成功结果。然而,在其他情况下,结果可能更严重。

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J Invasive Cardiol. 2019 Mar;31(3):E47-E48. doi: 10.25270/jic/18.00253.
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引用本文的文献

1
A case report of right ventricular compression from a septal haematoma during retrograde coronary intervention to a chronic total occlusion.1例慢性完全闭塞冠状动脉逆向介入治疗期间因间隔血肿导致右心室受压的病例报告
Eur Heart J Case Rep. 2019 Sep 1;3(3). doi: 10.1093/ehjcr/ytz089.