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光学相干断层扫描导管诱发的左前降支动脉血管痉挛:一例报告。

Optical coherence tomography catheter-induced vasospasm of the left anterior descending artery: A case report.

作者信息

Mohammed Fawaz, Khan Zaina Ali, Mohammed Muna, Gleaves Evan D, Schwartz Cody, Haider Sajjad, Saleem Sameer, Amin Akhtar, Dowe Jacqueline Dawson, Abdul-Waheed Mohammed, Akbar Muhammad Shoaib, Kazimuddin Mohammed, Rafeedheen Rahil

机构信息

Department of Medicine, University of Kentucky, Bowling Green, KY 42101, USA.

Deccan College of Medical Sciences, Hyderabad, Telangana 50008, India.

出版信息

Radiol Case Rep. 2024 Aug 7;19(10):4618-4621. doi: 10.1016/j.radcr.2024.07.035. eCollection 2024 Oct.

Abstract

Optical coherence tomography (OCT) helps identify coronary artery disease of different etiologies. Vasospasm from OCT catheter is a rarely reported complication that is more commonly seen in the right coronary artery. We report a case of OCT-catheter induced vasospasm of the left anterior descending artery that resolved with administration of nitroglycerine. Interventionalists need to weary of the occurrence of catheter-related coronary artery spasm to avoid stenting when not necessary.

摘要

光学相干断层扫描(OCT)有助于识别不同病因的冠状动脉疾病。OCT导管引起的血管痉挛是一种很少报道的并发症,在右冠状动脉中更常见。我们报告一例左前降支OCT导管诱发的血管痉挛,经硝酸甘油治疗后缓解。介入医生需要警惕导管相关冠状动脉痉挛的发生,以避免不必要的支架置入。

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