1st Cardiology Department, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
J Invasive Cardiol. 2023 Feb;35(2):E101-E102. doi: 10.25270/jic/22.00138.
In this difficult case of an 80-year-old woman with an acute coronary syndrome and extremely calcified and tortuous left anterior descending artery, the operators were unable to insert the stent into the distal cylinder of the Telescope after encountering strong resistance. Assuming the stent was stuck at the level of the distal cylinder entry pot, they decided to remove both the guide catheter extension (GCE) and the stent as a single unit to prevent complications. Since the first GCE was introduced in 2009, many other GCE systems have been developed and there is accumulating experience with their use. To our knowledge, this is the first description of stent damage occurring during the insertion in the distal cylinder of the Telescope GCE (Medtronic). Interventional cardiologists should always be prepared to face unexpected complications related to sophisticated devices such as GCE.
在这个 80 岁老年女性急性冠状动脉综合征且左前降支严重钙化迂曲的复杂病例中，术者在遇到强烈阻力后无法将支架送入 Telescope 的远端筒内。假设支架卡在远端筒入口段，他们决定将导引导管延长管（GCE）和支架一起作为一个整体取出，以防止并发症。自 2009 年首次引入 GCE 以来，已经开发了许多其他 GCE 系统，并且使用经验不断积累。据我们所知，这是首次描述在将 Medtronic 公司的 Telescope GCE 插入远端筒内时发生支架损坏的情况。介入心脏病专家应始终准备好应对与 GCE 等复杂器械相关的意外并发症。
