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无症状性医源性右冠状动脉夹层伴自发缓解。一例报告。

Asymptomatic iatrogenic right coronary artery dissection with spontaneous resolution. A case report.

作者信息

Przybojewski J Z

出版信息

S Afr Med J. 1987 Feb 21;71(4):254-6.

PMID:3824096
Abstract

A young woman with angiographically normal coronary arteries had asymptomatic iatrogenic catheter-induced dissection of her right coronary artery which was managed conservatively. Because of continuing chest pain despite therapy, over a year later she again underwent selective coronary arteriography; a Softip cardiovascular catheter (Angiomedics Inc., Minneapolis) was used without complication. This may be the first report of use of this catheter after previous iatrogenic coronary artery dissection caused by a more conventional type. It is also the first time that this catheter was employed in the RSA. The use of a Softip cardiovascular catheter may significantly reduce this complication of a common coronary angiography.

摘要

一名年轻女性,其冠状动脉造影显示正常,但发生了无症状的医源性导管导致的右冠状动脉夹层,对此采取了保守治疗。尽管进行了治疗,但由于持续胸痛,一年多后她再次接受了选择性冠状动脉造影;使用了Softip心血管导管(Angiomedics公司,明尼阿波利斯),未出现并发症。这可能是首例在先前由更传统类型导管导致医源性冠状动脉夹层后使用该导管的报告。这也是该导管首次在右冠状动脉中使用。使用Softip心血管导管可能会显著降低这种常见冠状动脉造影并发症的发生率。

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