慢性完全闭塞性经皮冠状动脉介入治疗的并发症
Complications of chronic total occlusion percutaneous coronary intervention.
作者信息
Karacsonyi J, Vemmou E, Nikolakopoulos I D, Ungi I, Rangan B V, Brilakis E S
机构信息
Minneapolis Heart Institute and Minneapolis Heart Institute Foundation Abbott Northwestern Hospital, Minneapolis, MN, USA.
Division of Invasive Cardiology, Second Department of Internal Medicine and Cardiology Centre, University of Szeged, Szeged, Hungary.
出版信息
Neth Heart J. 2021 Jan;29(1):60-67. doi: 10.1007/s12471-020-01502-1. Epub 2020 Oct 27.
Chronic total occlusion percutaneous coronary interventions can be highly complex and are associated with an increased risk of complications, such as perforation, acute vessel closure (which can lead to rapid haemodynamic compromise if it involves the donor vessel), and equipment loss or entrapment. Awareness of the potential complications and meticulous attention to equipment position and patient monitoring can help minimise the risk of complications and allow prompt treatment should they occur.
慢性完全闭塞性经皮冠状动脉介入治疗可能非常复杂，且与并发症风险增加相关，如穿孔、急性血管闭塞（如果涉及供血血管，可导致迅速的血流动力学不稳定）以及器械丢失或嵌顿。了解潜在并发症并密切关注器械位置和患者监测，有助于将并发症风险降至最低，并在并发症发生时能及时进行治疗。
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