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经皮冠状动脉介入治疗期间的意外间隔消融

Inadvertent Septal Ablation During Percutaneous Coronary Intervention.

作者信息

Gao Feng, Khalid Umair

机构信息

Department of Medicine, Baylor College of Medicine, Houston, USA.

Department of Medicine, Michael E. DeBakey Veterans Affairs Medical Center, Houston, USA.

出版信息

Cureus. 2021 Nov 3;13(11):e19227. doi: 10.7759/cureus.19227. eCollection 2021 Nov.

DOI:10.7759/cureus.19227
PMID:34877205
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8642122/
Abstract

We present a case of inadvertent occlusion of a septal artery from being jailed during percutaneous coronary intervention of left anterior descending artery. This resulted in partial loss of the interventricular septum. Risks of side branch occlusion and bifurcation stenting are discussed.

摘要

我们报告了1例在经皮冠状动脉介入治疗左前降支时,因导丝嵌顿导致间隔动脉意外闭塞的病例。这导致室间隔部分梗死。文中讨论了边支闭塞和分叉处支架置入的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36f2/8642122/068eac56c908/cureus-0013-00000019227-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36f2/8642122/068eac56c908/cureus-0013-00000019227-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36f2/8642122/068eac56c908/cureus-0013-00000019227-i01.jpg

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本文引用的文献

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Percutaneous coronary intervention for bifurcation coronary lesions: the 15 consensus document from the European Bifurcation Club.经皮冠状动脉介入治疗分叉病变:来自欧洲分叉俱乐部的 15 项共识文件。
EuroIntervention. 2021 Mar 19;16(16):1307-1317. doi: 10.4244/EIJ-D-20-00169.
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Single- Versus 2-Stent Strategies for Coronary Bifurcation Lesions: A Systematic Review and Meta-Analysis of Randomized Trials With Long-Term Follow-up.单支架与双支架策略治疗冠状动脉分叉病变:一项长期随访的随机试验系统评价和荟萃分析。
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Frequency and clinical consequences associated with sidebranch occlusion during stent implantation using zotarolimus-eluting and paclitaxel-eluting coronary stents.使用依维莫司洗脱和紫杉醇洗脱冠状动脉支架植入术中边支闭塞的频率及临床后果。
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Significance of periprocedural myonecrosis on outcomes after percutaneous coronary intervention: an analysis of preintervention and postintervention troponin T levels in 5487 patients.经皮冠状动脉介入治疗后围手术期心肌坏死对预后的意义:5487 例患者介入前后肌钙蛋白 T 水平分析。
Circ Cardiovasc Interv. 2008 Aug;1(1):10-9. doi: 10.1161/CIRCINTERVENTIONS.108.765610.
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Outcome of alcohol septal ablation for obstructive hypertrophic cardiomyopathy.酒精间隔消融术治疗梗阻性肥厚型心肌病的疗效
Circulation. 2008 Jul 8;118(2):131-9. doi: 10.1161/CIRCULATIONAHA.107.738740.
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Alcohol septal ablation for hypertrophic cardiomyopathy: indications and technique.肥厚型心肌病的酒精间隔消融术:适应证与技术
Catheter Cardiovasc Interv. 2005 Nov;66(3):375-89. doi: 10.1002/ccd.20500.
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Clin Cardiol. 2005 Mar;28(3):124-30. doi: 10.1002/clc.4960280305.
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Fate of lesion-related side branches after coronary artery stenting.冠状动脉支架置入术后病变相关侧支血管的转归
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