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光学相干断层扫描(OCT)导管卡顿导致左主干冠状动脉近端节段纵向支架变形:病例报告及文献综述

Longitudinal Stent Deformation at the Proximal Segment of the Left Main Coronary Artery Caused by a Stuck OCT Catheter: Case Report and Review of Literature.

作者信息

Zhang Ming, Pan Xietian, Wang Yabin, Yin Shuo, Bai Peng, Gao Lei

机构信息

Senior Department of Cardiology, the First Medical Center of PLA General Hospital, 100853 Beijing, China.

Senior Department of Cardiology, the Sixth Medical Center of PLA General Hospital, 100853 Beijing, China.

出版信息

Rev Cardiovasc Med. 2024 Mar 28;25(4):119. doi: 10.31083/j.rcm2504119. eCollection 2024 Apr.

Abstract

It has been rarely reported that a stuck optical coherence tomography (OCT) catheter can lead to longitudinal stent deformation (LSD). This complication can result in incomplete stent apposition and dissection after stent implantation. In this study, we present a case where a bailout stent was implanted in the distal segment of the left anterior descending artery (LAD) after longitudinal stent deformation caused by a stuck OCT catheter. This approach was taken to prevent acute stent thrombosis, subacute stent thrombosis, in-stent restenosis (ISR), and death. The patients were followed up for one year, and no adverse events were observed.

摘要

很少有报道称,光学相干断层扫描(OCT)导管卡顿会导致纵向支架变形(LSD)。这种并发症可导致支架植入后贴壁不全和夹层形成。在本研究中,我们报告了1例因OCT导管卡顿导致纵向支架变形后,在左前降支(LAD)远端植入补救支架的病例。采取该方法是为了预防急性支架血栓形成、亚急性支架血栓形成、支架内再狭窄(ISR)和死亡。对患者进行了为期1年的随访,未观察到不良事件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e4c/11264035/8748892cb54f/2153-8174-25-4-119-g1.jpg

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