Cardiovascular Medicine, University of Nebraska, Omaha, Nebraska.
Sinai Hospital of Baltimore, LifeBridge Health Cardiovascular Institute, Baltimore, Maryland.
Tex Heart Inst J. 2023 Mar 1;50(2). doi: 10.14503/THIJ-21-7685.
A 55-year-old man presented with chest pain and was diagnosed with non-ST-segment elevation myocardial infarction. Coronary angiography revealed a 95% eccentric lesion in the mid-right coronary artery. After 3 intracoronary stents were placed, the guidewire became entrapped in 1 of the stents; multiple attempts at retrieval were unsuccessful. Ultimately, the guidewire fractured, and a coronary artery bypass graft surgery was performed to remove the guidewire fragments. This report reviews the procedural steps for wire retrieval that are critical for operators to avoid coronary artery bypass surgery.
一位 55 岁男性因胸痛就诊，被诊断为非 ST 段抬高型心肌梗死。冠状动脉造影显示右冠状动脉中段 95%偏心病变。置入 3 枚冠状动脉内支架后，导丝被困在其中 1 枚支架内；多次尝试取出均未成功。最终导丝断裂，行冠状动脉旁路移植术取出导丝碎片。本报告回顾了对术者至关重要的取丝步骤，以避免行冠状动脉旁路移植术。
