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逃离噩梦:在经皮冠状动脉介入治疗期间成功取出断裂的导丝

Escaping a Nightmare: Successfully Retrieving a Fractured Guidewire During Percutaneous Coronary Intervention.

作者信息

Sharma Sanjay Kumar

机构信息

Department of Cardiology, Neo Hospital, Noida, IND.

出版信息

Cureus. 2024 Jun 12;16(6):e62273. doi: 10.7759/cureus.62273. eCollection 2024 Jun.

Abstract

A guidewire fracture seldom occurs as a complication of percutaneous coronary intervention (PCI). Guidewire fragments retained in the coronary tree can result in thrombosis, embolic phenomena, dissection, perforation, and vessel occlusion. This study represents a rare incidence of fractured guide wire, which occurred during PCI in a 44-year-old male due to the acute angle and heavy calcification which was safely and successfully retrieved using a 4×40 mm Solitaire device (Irvine, CA: Medtronic) (neurovascular remodeling device).

摘要

导丝断裂很少作为经皮冠状动脉介入治疗(PCI)的并发症出现。残留在冠状动脉内的导丝碎片可导致血栓形成、栓塞现象、夹层、穿孔和血管闭塞。本研究报告了一例罕见的导丝断裂病例,该病例发生在一名44岁男性患者的PCI过程中,原因是存在锐角和严重钙化,最终使用4×40 mm Solitaire装置(加利福尼亚州欧文市:美敦力公司)(神经血管重塑装置)安全且成功地取出了断裂导丝。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14e6/11247243/bcaa921c0dd9/cureus-0016-00000062273-i01.jpg

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