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冠状动脉内碎石术用于极晚期支架扩张：一例报告

Very late stent expansion with intracoronary lithotripsy: a case report.

作者信息

Demarchi Andrea, Ugo Fabrizio, Cavallino Chiara, Rametta Francesco

机构信息

Division of Cardiology, S. Andrea Hospital, Corso Mario Abbiate 21, 13100 Vercelli, Italy.

出版信息

Eur Heart J Case Rep. 2020 Oct 17;4(5):1-4. doi: 10.1093/ehjcr/ytaa228. eCollection 2020 Oct.

DOI:10.1093/ehjcr/ytaa228
PMID:33204993
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7649517/
Abstract

BACKGROUND

Underexpanded stent in heavily calcified coronary lesion is common and persists over years. It is related to long-term failure and negative outcomes. Treatment of this situation after many years with intracoronary lithotripsy (ICL-Shockwave) could be an option.

CASE SUMMARY

We report a case of a man with underexpanded coronary stent implanted 11 years earlier. Optical coherence tomography highlighted the mechanism of stent underexpansion showing the presence of calcium stones under the old struts. Intracoronary lithotripsy crushed calcium under the stent struts causing its geometric change (from elliptical to round shape) and a consequent better transmission of the true radial force of the old stent.

DISCUSSION

Heavily calcified coronary lesions lead to stent underexpansion which persists over years. Intracoronary lithotripsy could be a very late option to manage this unfavourable common result.

摘要

背景

在严重钙化的冠状动脉病变中，支架扩张不足很常见，且会持续数年。这与长期失败和不良后果有关。多年后采用冠状动脉内碎石术（ICL-冲击波）治疗这种情况可能是一种选择。

病例摘要

我们报告一例11年前植入冠状动脉支架扩张不足的男性病例。光学相干断层扫描突出了支架扩张不足的机制，显示在旧支架支柱下存在钙结石。冠状动脉内碎石术粉碎了支架支柱下的钙，导致其几何形状改变（从椭圆形变为圆形），从而使旧支架的真正径向力得到更好的传递。

讨论

严重钙化的冠状动脉病变会导致支架扩张不足，并持续数年。冠状动脉内碎石术可能是处理这种不利常见结果的一个非常晚期的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/800e/7649517/974c65db5656/ytaa228f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/800e/7649517/b49a72ef315f/ytaa228f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/800e/7649517/5ca3f0901c40/ytaa228f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/800e/7649517/a2e378acec64/ytaa228f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/800e/7649517/974c65db5656/ytaa228f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/800e/7649517/b49a72ef315f/ytaa228f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/800e/7649517/5ca3f0901c40/ytaa228f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/800e/7649517/a2e378acec64/ytaa228f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/800e/7649517/974c65db5656/ytaa228f4.jpg

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2
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Eur Heart J Case Rep. 2019 Dec;3(4):1-5. doi: 10.1093/ehjcr/ytz172. Epub 2019 Oct 8.
3
Cracking the Plaque With Coronary Lithotripsy: Mechanistic Insights From Optical Coherence Tomography.
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经冠状动脉碎石术破解斑块：光学相干断层扫描的机制见解。
J Invasive Cardiol. 2020 Jan;32(1):E14. doi: 10.25270/jic/20.3201.E14.
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Shockwave Intravascular Lithotripsy for Calcified Coronary Lesions: First Real-World Experience.用于钙化冠状动脉病变的冲击波血管内碎石术：首次真实世界经验。
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