Latsios George, Toutouzas Konstantinos, Karanasos Antonios, Tousoulis Dimitrios
1st Department of Cardiology, Athens Medical School, Hippokration Hospital, Athens, Greece.
1st Department of Cardiology, Athens Medical School, Hippokration Hospital, Athens, Greece.
Cardiovasc Revasc Med. 2019 Nov;20(11S):13-14. doi: 10.1016/j.carrev.2019.03.020. Epub 2019 Apr 5.
We describe a case of an 84-year old gentleman undergoing PCI of a heavily calcified and stenotic right coronary artery. Rotational atherectomy was employed, but due to difficulties in wiring and burr advancement, extra deep guide-catheter intubation was used to provide support and facilitate advancement of the burr and subsequent stent deployment. An approach with careful extra deep guide-catheter intubation in rotablation is an option that might be considered for selected cases with severely stenotic, calcified, angulated lesions.
我们描述了一例84岁男性患者，其右冠状动脉严重钙化并狭窄，正在接受经皮冠状动脉介入治疗（PCI）。采用了旋磨术，但由于导丝操作困难和磨头推进受阻，遂使用超深导管插管以提供支撑，促进磨头推进及随后的支架置入。对于伴有严重狭窄、钙化、成角病变的特定病例，在旋磨术中谨慎采用超深导管插管的方法是一种可考虑的选择。
