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震撼与敬畏：血管内碎石术成功开通支架内再狭窄致 ST 段抬高型心肌梗死复发

Shock and Awe: Successful Revascularization with Intravascular Lithotripsy in Recurrent ST-Elevation Myocardial Infarction Secondary to Stent Under-Expansion.

机构信息

Louisiana State University Health Sciences Center, Shreveport, Louisiana, US.

Johns Hopkins University, Baltimore, Maryland, US.

出版信息

Methodist Debakey Cardiovasc J. 2023 Aug 17;19(1):55-60. doi: 10.14797/mdcvj.1257. eCollection 2023.

DOI:10.14797/mdcvj.1257
PMID:37600449
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10437133/
Abstract

We report a case of recurrent ST-segment elevation myocardial infarction (STEMI) due to a previously implanted under-expanded stent with in-stent thrombosis refractory to traditional interventional techniques. We underscore the utility of bail-out shockwave intravascular lithotripsy to tackle previously under-expanded stents in this acute setting.

摘要

我们报告了一例因先前植入的支架扩张不足导致的复发性 ST 段抬高型心肌梗死（STEMI），并伴有支架内血栓形成，传统介入技术难以处理。我们强调了在这种急性情况下，挽救性冲击波血管内碎石术处理先前扩张不足的支架的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/802b/10437133/6d3b0fe5b582/mdcvj-19-1-1257-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/802b/10437133/2f5e3db775d9/mdcvj-19-1-1257-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/802b/10437133/1b3cd0dac808/mdcvj-19-1-1257-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/802b/10437133/6d3b0fe5b582/mdcvj-19-1-1257-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/802b/10437133/2f5e3db775d9/mdcvj-19-1-1257-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/802b/10437133/1b3cd0dac808/mdcvj-19-1-1257-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/802b/10437133/6d3b0fe5b582/mdcvj-19-1-1257-g3.jpg

相似文献

1
Shock and Awe: Successful Revascularization with Intravascular Lithotripsy in Recurrent ST-Elevation Myocardial Infarction Secondary to Stent Under-Expansion.震撼与敬畏：血管内碎石术成功开通支架内再狭窄致 ST 段抬高型心肌梗死复发
Methodist Debakey Cardiovasc J. 2023 Aug 17;19(1):55-60. doi: 10.14797/mdcvj.1257. eCollection 2023.
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本文引用的文献

1
Rotational Atherectomy or Balloon-Based Techniques to Prepare Severely Calcified Coronary Lesions.旋磨术或球囊血管成形术预处理严重钙化病变。
JACC Cardiovasc Interv. 2022 Sep 26;15(18):1864-1874. doi: 10.1016/j.jcin.2022.07.034.
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Intravascular Lithotripsy as Bail-Out in an Acute Coronary Syndrome Patient With Severe Underexpansion of a Previously Implanted Stent.血管内碎石术在急性冠状动脉综合征患者中作为挽救治疗，该患者先前植入的支架严重扩张不良。
J Invasive Cardiol. 2022 Sep;34(9):E692-E693. doi: 10.25270/jic/22.00052.
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Intracoronary Lithotripsy Use for In-Stent Restenosis, Including Multilayer ISR.
冠状动脉内碎石术治疗支架内再狭窄，包括多层 ISR。
Cardiovasc Revasc Med. 2022 Nov;44:10-13. doi: 10.1016/j.carrev.2022.06.261. Epub 2022 Jun 28.
4
In-Stent Use of Intravascular Coronary Lithotripsy for Restenosis and Stent Underexpansion: A Multicentre Experience.血管内冠状动脉碎石术在支架内治疗再狭窄和支架扩张不全的多中心经验
Can J Cardiol. 2022 Oct;38(10):1474-1475. doi: 10.1016/j.cjca.2022.05.020. Epub 2022 May 26.
5
Coronary lithotripsy for the treatment of underexpanded stents: the international & multicentre CRUNCH registry.冠状动脉碎石术治疗支架扩张不足：国际多中心 CRUNCH 注册研究。
EuroIntervention. 2022 Sep 20;18(7):574-581. doi: 10.4244/EIJ-D-21-00545.
6
Impella-Assisted Intracoronary Lithotripsy of Severely Calcified Left Main Coronary Artery Bifurcation for NSTEMI With Cardiogenic Shock.用于治疗非ST段抬高型心肌梗死合并心源性休克的严重钙化左主干冠状动脉分叉处的Impella辅助冠状动脉内碎石术
Cureus. 2021 Apr 30;13(4):e14772. doi: 10.7759/cureus.14772.
7
Intravascular Lithotripsy for Treatment of Calcified Coronary Lesions: Patient-Level Pooled Analysis of the Disrupt CAD Studies.血管内碎石术治疗钙化性冠状动脉病变：Disrupt CAD 研究的患者水平汇总分析。
JACC Cardiovasc Interv. 2021 Jun 28;14(12):1337-1348. doi: 10.1016/j.jcin.2021.04.015. Epub 2021 May 3.
8
IntravaScular Lithotripsy for the Management of UndILatable Coronary StEnt: The SMILE Registry.血管内碎石术治疗不可扩张的冠状动脉支架：SMILE 登记研究。
Cardiovasc Revasc Med. 2020 Dec;21(12):1555-1559. doi: 10.1016/j.carrev.2020.05.020. Epub 2020 May 23.
9
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JACC Cardiovasc Interv. 2020 Jun 22;13(12):1417-1428. doi: 10.1016/j.jcin.2020.03.053.
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Undilatable Calcific Coronary Stenosis Causing Stent Underexpansion and Late Stent Thrombosis: A Complex Scenario Successfully Managed With Intravascular Lithotripsy.不可扩张的钙化性冠状动脉狭窄导致支架扩张不全和晚期支架血栓形成：血管内碎石术成功处理的复杂病例
JACC Cardiovasc Interv. 2019 Aug 12;12(15):1510-1512. doi: 10.1016/j.jcin.2019.02.010. Epub 2019 Apr 10.