Allana Salman S, Brilakis Emmanouil S
Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Minneapolis, MN, USA.
Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Minneapolis, MN, USA.
Cardiovasc Revasc Med. 2023 Aug;53S:S292-S295. doi: 10.1016/j.carrev.2023.01.006. Epub 2023 Jan 11.
Donor vessel injury is a well-known complication of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). Due to significant amount of myocardium at risk, donor vessel injury may lead to rapid hemodynamic collapse. In this setting, prompt restoration of blood flow into the donor artery is of paramount importance. Advancement of a safety coronary workhorse guidewire in the donor vessel prior to attempting CTO PCI is a simple maneuver that provides access to the donor artery for rapid coronary intervention and restoration of blood flow, in the event of donor vessel injury. We describe two cases of CTO PCI that illustrate the value of the safety coronary guidewire.
供体血管损伤是慢性完全闭塞（CTO）经皮冠状动脉介入治疗（PCI）的一种众所周知的并发症。由于存在大量处于危险中的心肌，供体血管损伤可能导致迅速的血流动力学崩溃。在这种情况下，迅速恢复供体动脉的血流至关重要。在尝试进行CTO PCI之前，在供体血管中推进一根安全冠状动脉主力导丝是一种简单的操作，在供体血管损伤时，可为快速冠状动脉介入治疗和恢复血流提供进入供体动脉的途径。我们描述了两例CTO PCI病例，以说明安全冠状动脉导丝的价值。
