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病例报告：经皮冠状动脉介入治疗后继发急性孤立性睫状视网膜动脉阻塞。

Case report: acute isolated cilioretinal artery occlusion secondary to percutaneous coronary intervention.

机构信息

Department of Ophthalmology, Nanjing Lishui People's Hospital, Zhongda Hospital Lishui branch, Southeast University, Nanjing, Jiangsu Province, China.

Department of Ophthalmology, Nanjing Jiangning Hospital of Chinese Medicine, Nanjing, Jiangsu Province, China.

出版信息

J Cardiothorac Surg. 2023 Oct 17;18(1):297. doi: 10.1186/s13019-023-02379-y.

DOI:10.1186/s13019-023-02379-y
PMID:37848980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10583427/
Abstract

INTRODUCTION

This case report aims to describe in detail the acute isolated cilioretinal artery occlusion (CLRAO) secondary to complicated therapeutic percutaneous coronary intervention (PCI).

CASE DESCRIPTION

A 68-year-old Chinese man with coronary artery disease (CAD) complained of sudden, sharp chest pain. Coronary angiography revealed severe stenoses of the coronary arteries. The patient was then treated with PCI. One hour after the procedure, the patient presented with a sudden reduction in vision in the right eye. The patient was diagnosed with acute isolated CLRAO and treated with Salvia miltiorrhiza injections.

CONCLUSIONS

This is the report to provide a detailed description of acute isolated CLRAO secondary to therapeutic PCI treated with Salvia miltiorrhiza. The visual prognosis of the untreated patients is poor. Suitable management and prevention are essential for interventional cardiologists to prevent these complications.

摘要

介绍

本病例报告旨在详细描述继发于复杂经皮冠状动脉介入治疗（PCI）的急性孤立性睫状视网膜动脉阻塞（CLRAO）。

病例描述

一名 68 岁的中国男性患有冠心病（CAD），主诉突发剧烈胸痛。冠状动脉造影显示冠状动脉严重狭窄。随后对患者进行了 PCI 治疗。术后 1 小时，患者右眼视力突然下降。患者被诊断为急性孤立性 CLRAO，并接受丹参注射液治疗。

结论

本报告详细描述了继发于 PCI 治疗的急性孤立性 CLRAO，并采用丹参进行治疗。未经治疗的患者的视力预后较差。对于介入心脏病学家来说，进行适当的管理和预防对于防止这些并发症至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b4/10583427/ce2f4bbad74e/13019_2023_2379_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b4/10583427/8572e4bf5fff/13019_2023_2379_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b4/10583427/a3bdb83a7602/13019_2023_2379_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b4/10583427/bfda8eb02221/13019_2023_2379_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b4/10583427/ce2f4bbad74e/13019_2023_2379_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b4/10583427/8572e4bf5fff/13019_2023_2379_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b4/10583427/a3bdb83a7602/13019_2023_2379_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b4/10583427/bfda8eb02221/13019_2023_2379_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b4/10583427/ce2f4bbad74e/13019_2023_2379_Fig4_HTML.jpg

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本文引用的文献

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Isolated cilioretinal artery occlusion secondary to perinuclear antineutrophil cytoplasmic antibody vasculitis.继发于核周型抗中性粒细胞胞浆抗体血管炎的孤立性睫状视网膜动脉阻塞。
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