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双层既往支架内复发性支架内再狭窄行球囊扩张术后冠状动脉穿孔

Coronary Artery Perforation After Balloon Dilatation for Recurrent In-Stent Restenosis Inside the Double-Layered Previous Stents.

作者信息

Yamashita Daichi, Kitahara Hideki, Saito Yuichi, Kato Ken, Kobayashi Yoshio

机构信息

Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Chiba, Japan.

出版信息

JACC Case Rep. 2023 Aug 5;21:101976. doi: 10.1016/j.jaccas.2023.101976. eCollection 2023 Sep 6.

DOI:10.1016/j.jaccas.2023.101976
PMID:37719286
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10500348/
Abstract

Although coronary artery perforation can be a fatal complication during percutaneous coronary intervention, it is rarely observed in in-stent restenotic lesions. We present a case with coronary artery perforation after balloon dilatation for a recurrent in-stent restenotic lesion with calcified nodule inside the double-layered stents that were previously implanted. ().

摘要

尽管冠状动脉穿孔在经皮冠状动脉介入治疗期间可能是一种致命的并发症,但在支架内再狭窄病变中很少见到。我们报告一例,该患者曾植入双层支架,支架内有钙化结节,因复发性支架内再狭窄病变行球囊扩张后发生冠状动脉穿孔。()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c46/10500348/db73881c9bfb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c46/10500348/f4076c770256/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c46/10500348/db73881c9bfb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c46/10500348/f4076c770256/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c46/10500348/db73881c9bfb/gr1.jpg

相似文献

1
Coronary Artery Perforation After Balloon Dilatation for Recurrent In-Stent Restenosis Inside the Double-Layered Previous Stents.双层既往支架内复发性支架内再狭窄行球囊扩张术后冠状动脉穿孔
JACC Case Rep. 2023 Aug 5;21:101976. doi: 10.1016/j.jaccas.2023.101976. eCollection 2023 Sep 6.
2
Successful sealing of a coronary artery perforation with a mesh-covered stent.使用带网支架成功封堵冠状动脉穿孔。
J Invasive Cardiol. 2012 Apr;24(4):E80-3.
3
Association between tissue characteristics assessed with optical coherence tomography and mid-term results after percutaneous coronary intervention for in-stent restenosis lesions: a comparison between balloon angioplasty, paclitaxel-coated balloon dilatation, and drug-eluting stent implantation.光学相干断层扫描评估的组织特征与经皮冠状动脉介入治疗支架内再狭窄病变的中期结果之间的关联:球囊血管成形术、紫杉醇涂层球囊扩张术和药物洗脱支架植入术的比较
Eur Heart J Cardiovasc Imaging. 2015 Oct;16(10):1101-11. doi: 10.1093/ehjci/jev031. Epub 2015 Mar 9.
4
Ostial left circumflex lesion with calcified nodule successfully treated with excimer laser coronary atherectomy and drug-coated balloon.伴有钙化结节的左回旋支开口病变经准分子激光冠状动脉斑块旋切术和药物涂层球囊成功治疗。
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Coronary restenosis of in-stent protruding bump with rapid progression: Optical frequency domain imaging and angioscopic observation.支架内突出隆起伴快速进展的冠状动脉再狭窄:光学频域成像与血管内镜观察
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The frequency and clinical characteristics of in-stent restenosis due to calcified nodule development after coronary stent implantation.冠状动脉支架置入术后钙化结节发展导致支架内再狭窄的频率及临床特征。
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Rotational atherectomy is useful to treat restenosis lesions due to crushing of a sirolimus-eluting stent implanted in severely calcified lesions: experimental study and initial clinical experience.旋磨术对于治疗因植入严重钙化病变中的西罗莫司洗脱支架受压所致的再狭窄病变很有用:实验研究及初步临床经验。
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Calcified Nodule Protruding Into the Lumen Through Stent Struts: An In Vivo OCT Analysis.钙化结节通过支架小梁突入管腔:体内 OCT 分析。
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Optical Coherence Tomography Predictors for Recurrent Restenosis After Paclitaxel-Coated Balloon Angioplasty for Drug-Eluting Stent Restenosis.紫杉醇涂层球囊血管成形术治疗药物洗脱支架再狭窄后再狭窄的光学相干断层成像预测因子。
Circ J. 2018 Oct 25;82(11):2820-2828. doi: 10.1253/circj.CJ-18-0464. Epub 2018 Aug 30.

本文引用的文献

1
Intravascular Lithotripsy for the Treatment of Calcium-Mediated Coronary In-Stent Restenoses.血管内碎石术治疗钙介导的冠状动脉支架内再狭窄。
J Invasive Cardiol. 2021 Jan;33(1):E25-E31. doi: 10.25270/jic/20.00285.
2
Contemporary Trends, Predictors and Outcomes of Perforation During Percutaneous Coronary Intervention (From the NCDR Cath PCI Registry).当代经皮冠状动脉介入治疗(PC I)穿孔的趋势、预测因素和结局(来自 NCDR Cath PCI 注册研究)。
Am J Cardiol. 2020 Sep 1;130:37-45. doi: 10.1016/j.amjcard.2020.06.014. Epub 2020 Jun 17.
3
Clinical impact of calcified nodule in patients with heavily calcified lesions requiring rotational atherectomy.
旋磨术治疗重度钙化病变患者中钙化结节的临床影响。
Catheter Cardiovasc Interv. 2021 Jan 1;97(1):10-19. doi: 10.1002/ccd.28896. Epub 2020 Apr 7.