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冠状动脉内未扩张支架嵌顿的固定和取出技术。

Fix and pull technique for retrieval of intracoronary unexpanded-stent entrapment.

机构信息

Department of Cardiology, Al-Azhar University, Cairo, Egypt.

Department of Cardiology, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

出版信息

Catheter Cardiovasc Interv. 2023 Aug;102(2):247-248. doi: 10.1002/ccd.30756. Epub 2023 Jun 27.

DOI:10.1002/ccd.30756
PMID:37369982
Abstract

During left main (LM) bifurcation PCI using T and small protrusion (TAP) technique, after deployment of LM-left anterior descending (LAD) stent, left circumflex (LCx) stent was entangled at LM ostium with balloon and wire slippage. Ping-pong (dual) guide catheters were used to simultaneously fix the LM-LAD stent and snare the trapped stent. This technique proved effective in retrieving the lost stent and minimizing LM stent deformation.

摘要

在左主干(LM)分叉病变经皮冠状动脉介入治疗(PCI)中使用 T 型和小突出(TAP)技术时,在 LM-左前降支(LAD)支架植入后,LCx 支架在 LM 开口处与球囊和导丝一起缠绕和滑脱。采用乒乓(双)导引导管同时固定 LM-LAD 支架并套住嵌顿支架。该技术在取回丢失的支架和最小化 LM 支架变形方面证明是有效的。

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