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老年患者钙化性左主干狭窄合并远端动脉瘤的成功旋磨术。

Successful rotational atherectomies for calcified left main stenosis with distal aneurysms in the elderly.

作者信息

Silalahi Todung D A, Suwita Christopher S

机构信息

Cardiovascular Division Internal Medicine Department Krida Wacana Christian University Jakarta Barat Indonesia.

Cardiology Department Jakarta Heart Center Hospital Jakarta Indonesia.

出版信息

Clin Case Rep. 2021 Jul 16;9(7):e04465. doi: 10.1002/ccr3.4465. eCollection 2021 Jul.

DOI:10.1002/ccr3.4465
PMID:34295487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8283865/
Abstract

In complex calcified LM lesions, RA is an effective and safe alternative for resolving stenosis. As a plaque modifier, RA can allow an optimal stent deployment. Nevertheless, in limited availability of intravascular imaging, well-preparedness against incidental angiography findings is mandatory. Distal aneurysm is not a contraindication provided that the team has the necessary experience.

摘要

在复杂钙化性左主干病变中，旋磨术是解决狭窄的一种有效且安全的替代方法。作为一种斑块修饰技术，旋磨术可实现最佳的支架置入。然而，在血管内成像条件有限的情况下，必须对偶然的血管造影结果做好充分准备。如果团队有必要经验，远端动脉瘤并非禁忌证。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3862/8283865/d27fe96fa65e/CCR3-9-e04465-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3862/8283865/d8e18d3824f9/CCR3-9-e04465-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3862/8283865/553ca0f32a00/CCR3-9-e04465-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3862/8283865/a6276faeaf7f/CCR3-9-e04465-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3862/8283865/d27fe96fa65e/CCR3-9-e04465-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3862/8283865/d8e18d3824f9/CCR3-9-e04465-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3862/8283865/553ca0f32a00/CCR3-9-e04465-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3862/8283865/a6276faeaf7f/CCR3-9-e04465-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3862/8283865/d27fe96fa65e/CCR3-9-e04465-g001.jpg

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本文引用的文献

1
Left Main Coronary Artery Interventions.左主干冠状动脉介入治疗
Interv Cardiol. 2019 Nov 18;14(3):124-130. doi: 10.15420/icr.2019.10.R2. eCollection 2019 Nov.
2
Rotational Atherectomy: A Contemporary Appraisal.旋磨术：当代评估
Interv Cardiol. 2019 Nov 18;14(3):182-189. doi: 10.15420/icr.2019.17.R1. eCollection 2019 Nov.
3
Management of Left Main Coronary Artery Disease.左主干冠状动脉疾病的管理
J Am Heart Assoc. 2018 Mar 31;7(7):e008151. doi: 10.1161/JAHA.117.008151.
4
Rotational atherectomy in very long lesions: Results for the ROTATE registry.超长病变中的旋磨术：ROTATE注册研究结果
Catheter Cardiovasc Interv. 2016 Nov 15;88(6):E164-E172. doi: 10.1002/ccd.26548. Epub 2016 Apr 16.
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European expert consensus on rotational atherectomy.欧洲旋切术专家共识。
EuroIntervention. 2015 May;11(1):30-6. doi: 10.4244/EIJV11I1A6.
6
Rotablation in the treatment of high-risk patients with heavily calcified left-main coronary lesions.旋磨术治疗高度钙化左主干病变高危患者。
J Geriatr Cardiol. 2013 Sep;10(3):217-25. doi: 10.3969/j.issn.1671-5411.2013.03.009.
7
High-speed rotational atherectomy before paclitaxel-eluting stent implantation in complex calcified coronary lesions: the randomized ROTAXUS (Rotational Atherectomy Prior to Taxus Stent Treatment for Complex Native Coronary Artery Disease) trial.在紫杉醇洗脱支架植入前对复杂钙化冠状动脉病变进行高速旋磨术：随机 ROTAXUS（旋磨术在紫杉醇支架治疗复杂原生冠状动脉疾病之前）试验。
JACC Cardiovasc Interv. 2013 Jan;6(1):10-9. doi: 10.1016/j.jcin.2012.07.017. Epub 2012 Dec 19.
8
Nonsurgical management of left main coronary artery aneurysms: report of 2 cases and review of the literature.左冠状动脉主干动脉瘤的非手术治疗：2例报告并文献复习
Tex Heart Inst J. 2006;33(3):376-9.
9
Rotational coronary atherectomy with adjunctive balloon angioplasty for the treatment of ostial lesions.采用冠状动脉旋磨术联合球囊血管成形术治疗开口病变。
Cathet Cardiovasc Diagn. 1994 Sep;33(1):22-7. doi: 10.1002/ccd.1810330106.