4 例起源于对侧壁窦的异常冠状动脉行导引导管经皮介入治疗。

Percutaneous Intervention With GuideLiner Catheter in 4 Patients With Anomalous Coronary Artery Originating From Opposite Sinus of Valsalva.

机构信息

Interventional Cardiology Unit, HM CIEC Madrid (Centro Integral de Enfermedades Cardiovasculares), Hospital Universitario HM Montepríncipe, HM Hospitales, Madrid, Spain.

Cardiac Image Unit, HM CIEC Madrid (Centro Integral de Enfermedades Cardiovasculares), Hospital Universitario HM Montepríncipe, Madrid, Spain.

出版信息

Tex Heart Inst J. 2022 Jul 1;49(4). doi: 10.14503/THIJ-20-7466.

DOI:10.14503/THIJ-20-7466

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9427061/

Abstract

Percutaneous intervention in anomalous coronary arteries originating from the opposite sinus of Valsalva is complicated by their unusual location and course, which makes selective cannulation difficult. The GuideLiner (Vascular Solutions, Inc.) is a monorail guide extension catheter designed to advance beyond the tip of a mother guide catheter to enable deep intubation of a coronary artery, provide extra support, and improve coaxial alignment. We describe the cases of 4 patients with an anomalous coronary artery originating from the opposite sinus of Valsalva-including 2 with acute myocardial infarction-who underwent successful percutaneous coronary intervention with use of a GuideLiner catheter.

摘要

经皮介入异常起源于主动脉窦的冠状血管比较复杂，因为它们的位置和走形不寻常，导致选择性插管困难。导引导管延长器（Vascular Solutions，Inc.）是一种单轨导引导管延长器，旨在超越母导引导管尖端，以实现冠状动脉的深插管、提供额外的支持，并改善同轴对准。我们描述了 4 例起源于对侧主动脉窦的异常冠状血管患者的病例，包括 2 例急性心肌梗死患者，他们成功地使用导引导管延长器进行了经皮冠状动脉介入治疗。

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本文引用的文献

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Catheter Selection and Angiographic Views for Anomalous Coronary Arteries: A Practical Guide.异常冠状动脉的导管选择和血管造影视角：实用指南。

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Percutaneous treatment of an anomalous left main arising from the opposite sinus with subpulmonic course.经皮治疗起源于对侧窦且走行于肺下的异常左主支气管。

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Anomalous Aortic Origin of a Coronary Artery From the Inappropriate Sinus of Valsalva.冠状动脉异常起源于瓦尔萨尔瓦窦不合适的窦部。

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GuideLiner Catheter Use for Percutaneous Intervention Involving Anomalous Origin of a Single Coronary Trunk Arising from the Ascending Aorta.用于经皮介入治疗起源于升主动脉的单一冠状动脉主干异常的Guideliner导管的应用

Case Rep Cardiol. 2016;2016:8790347. doi: 10.1155/2016/8790347. Epub 2016 Jul 27.

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Steam-deformed Judkins-left guiding catheter with use of the GuideLiner(®) catheter to deliver stents for anomalous right coronary artery.使用 GuideLiner(®)导管输送支架治疗右冠状动脉异常时的蒸汽变形Judkins左冠状动脉导管。

SAGE Open Med Case Rep. 2015 Oct 8;3:2050313X15608339. doi: 10.1177/2050313X15608339. eCollection 2015.

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7

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