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间隔支血管内膜撕脱在逆行慢性完全闭塞介入治疗中的发生。

Endothelial Avulsion of the Septal Branch During Retrograde Chronic Total Occlusion Intervention.

机构信息

HartCentrum, Ziekenhuis Netwerk Antwerpen (ZNA) Middelheim, Antwerp, Belgium.

HartCentrum, Ziekenhuis Netwerk Antwerpen (ZNA) Jan Palfijn, Antwerp, Belgium.

出版信息

Cardiovasc Revasc Med. 2021 Jul;28S:219-221. doi: 10.1016/j.carrev.2021.02.021. Epub 2021 Mar 2.

DOI:10.1016/j.carrev.2021.02.021
PMID:33676875
Abstract

Percutaneous revascularization of chronic total occlusions (CTOs) is known for the high technical complexity. Considering the constant increase in CTO procedures, subsequent peri-procedural complications will rise too, thus they need to be promptly recognized and evaluated for their potential risk of clinical sequelae. We report the case of a newly described complication during trans-septal retrograde CTO intervention: a septal collateral artery dissection due to endothelial avulsion.

摘要

经皮慢性完全闭塞(CTO)血运重建以技术难度高而著称。考虑到 CTO 手术的不断增加,随后的围手术期并发症也会随之增加,因此需要及时识别并评估其对临床后果的潜在风险。我们报告了经间隔逆行 CTO 介入治疗中一种新描述的并发症:由于内皮撕脱导致的间隔侧支动脉夹层。

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