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经皮治疗长冠状动脉瘤:提高疗效和安全性的新技术

Percutaneous Treatment of Long Coronary Aneurysms: Novel Technique for Increased Efficacy and Safety.

作者信息

Shah Sanjay C, Patel Tejas M, Patel Gaurav A, Pancholy Samir B

机构信息

Apex Heart Institute, Ahmedabad, India.

The Wright Center for Graduate Medical Education, Scranton, Pennsylvania.

出版信息

JACC Case Rep. 2019 Nov 27;1(4):628-632. doi: 10.1016/j.jaccas.2019.10.004. eCollection 2019 Dec.

DOI:10.1016/j.jaccas.2019.10.004
PMID:34316894
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8289137/
Abstract

Although covered stents have been available for percutaneous treatment of coronary aneurysms, patients with longer aneurysmal segments have been difficult to treat with covered stents. We describe a case of a right coronary artery aneurysm with an angiographically estimated length exceeding 30 mm treated percutaneously using covered stents and conventionally available hardware. ().

摘要

尽管覆膜支架已可用于经皮治疗冠状动脉瘤,但对于瘤体节段较长的患者,使用覆膜支架治疗一直存在困难。我们描述了一例右冠状动脉瘤患者,其血管造影估计长度超过30毫米,采用覆膜支架及常规可用器械进行了经皮治疗。()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ce/8289137/a39d9cd87cce/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ce/8289137/2e6eb84fa0df/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ce/8289137/e524f9c796c0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ce/8289137/37b660705b79/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ce/8289137/dc7ea279dc74/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ce/8289137/6a89a5b884c8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ce/8289137/a0d66fa1420c/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ce/8289137/28e94ceacc88/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ce/8289137/a39d9cd87cce/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ce/8289137/2e6eb84fa0df/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ce/8289137/e524f9c796c0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ce/8289137/37b660705b79/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ce/8289137/dc7ea279dc74/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ce/8289137/6a89a5b884c8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ce/8289137/a0d66fa1420c/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ce/8289137/28e94ceacc88/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ce/8289137/a39d9cd87cce/gr7.jpg

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引用本文的文献

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Giant coronary aneurysm and acute myocardial infarction: clinical case report and literature review.巨大冠状动脉瘤与急性心肌梗死:临床病例报告及文献综述
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Acute coronary syndrome in a young woman with a giant coronary aneurysm and mitral valve prolapse: a case report and literature review.年轻女性患巨大冠状动脉瘤和二尖瓣脱垂导致的急性冠状动脉综合征:病例报告及文献复习。
J Int Med Res. 2021 Mar;49(3):300060521999525. doi: 10.1177/0300060521999525.

本文引用的文献

1
Coronary Artery Ectasia Predicts Future Cardiac Events in Patients With Acute Myocardial Infarction.冠状动脉扩张可预测急性心肌梗死患者未来的心脏事件。
Arterioscler Thromb Vasc Biol. 2017 Dec;37(12):2350-2355. doi: 10.1161/ATVBAHA.117.309683. Epub 2017 Oct 19.
2
A Giant Coronary Artery Aneurysm Treated Using Multiple Overlapping Covered Stents.使用多个重叠覆膜支架治疗巨大冠状动脉瘤
JACC Cardiovasc Interv. 2017 Jul 10;10(13):e127-e128. doi: 10.1016/j.jcin.2017.04.030. Epub 2017 Jun 14.
3
Reconstruction of Right Coronary Artery With 2 Giant Aneurysms in Series Using 3 Overlapped Covered Stents.
使用3个重叠覆膜支架串联修复伴有2个巨大动脉瘤的右冠状动脉
JACC Cardiovasc Interv. 2017 May 22;10(10):1060-1062. doi: 10.1016/j.jcin.2017.02.033. Epub 2017 Apr 26.
4
Aneurysmal coronary artery disease.动脉瘤性冠状动脉疾病
Circulation. 1983 Jan;67(1):134-8. doi: 10.1161/01.cir.67.1.134.