Latsios George, Koliastasis Leonidas, Toutouzas Konstantinos, Tsioufis Kostas
Department of Cardiology, Hippokration General Hospital, Athens Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece.
World J Cardiol. 2024 Sep 26;16(9):508-511. doi: 10.4330/wjc.v16.i9.508.
The evolution of coronary intervention techniques and equipment has led to more sophisticated procedures for the treatment of highly complex lesions. However, as a result, the risk of complications has increased, which are mostly iatrogenic and often include equipment failure. Stent dislodgement warrants vigilance for the early diagnosis and a stepwise management approach is required to either expand or retrieve the lost stent. In the era of bioresorbable scaffolds that are not radiopaque, increased caution is required. Intravascular imaging may assist in detecting the lost scaffold in cases of no visibility fluoroscopically. Adequate lesion preparation is the key to minimizing the possibility of equipment loss; however, in the case that it occurs, commercially available and improvised devices and techniques may be applied.
冠状动脉介入技术和设备的发展催生了用于治疗高度复杂病变的更精密手术。然而，其结果是并发症风险增加，这些并发症大多是医源性的，且常常包括设备故障。支架移位需要警惕早期诊断，并且需要一种逐步的管理方法来扩张或取出丢失的支架。在不可显影的生物可吸收支架时代，需要更加谨慎。在荧光镜下不可见的情况下，血管内成像可能有助于检测丢失的支架。充分的病变预处理是将设备丢失可能性降至最低的关键；然而，如果发生设备丢失的情况，可以应用市售的和临时改进的设备及技术。
