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双重风险:在补救性血管成形术中未能使支架球囊放气。

Double jeopardy: Failure to deflate stent balloon in rescue angioplasty.

作者信息

Trivedi Rutvik

机构信息

Department of Cardiology, Zydus Hospital and Research Centre, Anand, India.

出版信息

Interv Med Appl Sci. 2019 Jun;11(2):128-130. doi: 10.1556/1646.11.2019.16.

DOI:10.1556/1646.11.2019.16
PMID:32148919
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7044536/
Abstract

Failure to deflate the angioplasty balloon following its inflation during percutaneous coronary intervention (PCI) is an unusual complication. We report a case of an undeflatable stent balloon in a 70-year-old male, who underwent PCI for the right coronary artery after failed thrombolysis with streptokinase. After many failed attempts, the patient was cautiously managed by controlled puncture with a stiff guide wire. The procedure was successful without any hemodynamic compromise and ventricular tachycardia.

摘要

经皮冠状动脉介入治疗(PCI)期间血管成形术球囊充气后未能放气是一种罕见的并发症。我们报告一例70岁男性患者,其支架球囊无法放气,该患者在链激酶溶栓失败后接受了右冠状动脉PCI治疗。经过多次尝试失败后,通过使用硬导丝进行控制性穿刺对患者进行了谨慎处理。手术成功,未出现任何血流动力学不稳定和室性心动过速的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b57/7044536/c20e7126b130/imas-11-02-16_f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b57/7044536/c20e7126b130/imas-11-02-16_f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b57/7044536/c20e7126b130/imas-11-02-16_f001.jpg

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本文引用的文献

1
Failure of a balloon to deflate during post dilatation in a coronary artery.冠状动脉球囊后扩张期间球囊无法瘪缩。
Cardiovasc Interv Ther. 2015 Jan;30(1):57-60. doi: 10.1007/s12928-014-0249-5. Epub 2014 Feb 15.
2
A rare complication: Undeflatable balloon of the stent.一种罕见的并发症:支架球囊无法瘪陷
Interv Med Appl Sci. 2013 Mar;5(1):43-5. doi: 10.1556/IMAS.5.2013.1.9. Epub 2013 Mar 19.
3
Troubleshooting and treating the balloon that fails to deflate.解决和处理无法放气的球囊问题。
Undeflatable balloon guide catheter (BGC) during endovascular procedure: Rescue strategy.
血管内手术中不可扩张球囊引导导管(BGC):挽救策略。
J Cerebrovasc Endovasc Neurosurg. 2022 Dec;24(4):372-379. doi: 10.7461/jcen.2022.E2021.10.005. Epub 2022 Jul 7.
Catheter Cardiovasc Interv. 2011 Jan 1;77(1):62. doi: 10.1002/ccd.22925.
4
Entrapped coronary angioplasty stent balloon due to nondeflation: percutaneous retrieval by a simple technique.因未瘪缩导致嵌顿的冠状动脉介入治疗支架球囊:一种简单技术的经皮取出。
Catheter Cardiovasc Interv. 2011 Jan 1;77(1):58-61. doi: 10.1002/ccd.22617.