• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

急性冠状动脉综合征中经皮冠状动脉介入治疗相关医源性瘘

Percutaneous Coronary Intervention-Related Iatrogenic Fistula in Acute Coronary Syndrome.

作者信息

Yurtdaş Mustafa, Dogan Zeki

机构信息

Cardiology, Istanbul Atlas University, Faculty of Medicine, Istanbul Medicine Hospital, Istanbul, TUR.

出版信息

Cureus. 2024 Aug 31;16(8):e68348. doi: 10.7759/cureus.68348. eCollection 2024 Aug.

DOI:10.7759/cureus.68348
PMID:39355074
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11444804/
Abstract

Iatrogenic coronary artery fistula (CAF) can occur following acute myocardial infarction, percutaneous coronary intervention (PCI) procedures, and heart surgery. Iatrogenic CAF linked to PCI has a low incidence rate. Early diagnosis and treatment are crucial when an iatrogenic fistula develops, as it may lead to cardiac tamponade, myocardial infarction, or death. In this report, we present a case of iatrogenic CAF secondary to coronary perforation caused by guidewire-induced trauma, followed by stent implantation and balloon inflation in the context of acute coronary syndrome (ACS). It was successfully managed through prolonged balloon inflation within the previously implanted stent just prior to the rupture zone.

摘要

医源性冠状动脉瘘（CAF）可发生于急性心肌梗死、经皮冠状动脉介入治疗（PCI）及心脏手术后。与PCI相关的医源性CAF发病率较低。医源性瘘形成时，早期诊断和治疗至关重要，因为它可能导致心脏压塞、心肌梗死或死亡。在本报告中，我们介绍了一例医源性CAF病例，其继发于导丝所致创伤引起的冠状动脉穿孔，随后在急性冠状动脉综合征（ACS）背景下进行了支架植入和球囊扩张。通过在破裂区域前在先前植入的支架内长时间球囊扩张成功处理了该病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a46/11444804/5398c9fe1759/cureus-0016-00000068348-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a46/11444804/bcf49041c326/cureus-0016-00000068348-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a46/11444804/747299784804/cureus-0016-00000068348-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a46/11444804/27dc344bfbb6/cureus-0016-00000068348-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a46/11444804/74eea2f0fc4d/cureus-0016-00000068348-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a46/11444804/2c574fd27530/cureus-0016-00000068348-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a46/11444804/52bd1a21e33c/cureus-0016-00000068348-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a46/11444804/7f999046f0c9/cureus-0016-00000068348-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a46/11444804/4f4635b8fa42/cureus-0016-00000068348-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a46/11444804/5398c9fe1759/cureus-0016-00000068348-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a46/11444804/bcf49041c326/cureus-0016-00000068348-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a46/11444804/747299784804/cureus-0016-00000068348-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a46/11444804/27dc344bfbb6/cureus-0016-00000068348-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a46/11444804/74eea2f0fc4d/cureus-0016-00000068348-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a46/11444804/2c574fd27530/cureus-0016-00000068348-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a46/11444804/52bd1a21e33c/cureus-0016-00000068348-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a46/11444804/7f999046f0c9/cureus-0016-00000068348-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a46/11444804/4f4635b8fa42/cureus-0016-00000068348-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a46/11444804/5398c9fe1759/cureus-0016-00000068348-i09.jpg

相似文献

1
Percutaneous Coronary Intervention-Related Iatrogenic Fistula in Acute Coronary Syndrome.急性冠状动脉综合征中经皮冠状动脉介入治疗相关医源性瘘
Cureus. 2024 Aug 31;16(8):e68348. doi: 10.7759/cureus.68348. eCollection 2024 Aug.
2
Urgent Pericardiocentesis Is More Frequently Needed After Left Circumflex Coronary Artery Perforation.左旋冠状动脉穿孔后更常需要紧急心包穿刺术。
J Clin Med. 2020 Sep 21;9(9):3043. doi: 10.3390/jcm9093043.
3
Is a metallic microcoil really a permanent embolic agent for the management of distal guidewire-induced coronary artery perforation?金属微线圈真的是用于治疗远端导丝诱导性冠状动脉穿孔的永久性栓塞剂吗？
Korean Circ J. 2011 Aug;41(8):474-8. doi: 10.4070/kcj.2011.41.8.474. Epub 2011 Aug 31.
4
Iatrogenic Pericarditis and Cardiac Tamponade Following Distal Wire Perforation: A Serial Case Report.远端导丝穿孔后医源性心包炎和心脏压塞：系列病例报告
Clin Med Insights Cardiol. 2022 Jun 28;16:11795468221108211. doi: 10.1177/11795468221108211. eCollection 2022.
5
Post-cardiac injury syndrome due to iatrogenic injury successfully managed medically: a case report.医源性损伤导致的心脏损伤后综合征经药物治疗成功治愈：病例报告。
J Med Case Rep. 2023 Jul 3;17(1):277. doi: 10.1186/s13256-023-04010-z.
6
Successful management of iatrogenic coronary arteriovenous fistula developed during chronic total occlusion intervention.慢性完全闭塞病变介入治疗期间发生的医源性冠状动脉动静脉瘘的成功处理。
J Cardiol Cases. 2012 Jun 3;6(4):e96-e99. doi: 10.1016/j.jccase.2012.05.003. eCollection 2012 Oct.
7
Intravascular ultrasound system-guided bail-out stent implantation for iatrogenic aortocoronary dissection: a case report.血管内超声系统引导下置入补救支架治疗医源性主动脉冠状动脉夹层：一例报告
Eur Heart J Case Rep. 2023 Jul 21;7(8):ytad332. doi: 10.1093/ehjcr/ytad332. eCollection 2023 Aug.
8
Early and Long-Term Outcomes in Patients Undergoing Cardiac Surgery Following Iatrogenic Injuries During Percutaneous Coronary Intervention.经皮冠状动脉介入治疗致医源性损伤后行心脏手术患者的早期和长期结局。
J Am Heart Assoc. 2019 Jan 8;8(1):e010940. doi: 10.1161/JAHA.118.010940.
9
Percutaneous Coronary Intervention (PCI)-Related Coronary Artery Perforation Permanently Sealed by a Severed Inflated Balloon After Shaft Fracture: A Case Report.经皮冠状动脉介入治疗（PCI）相关冠状动脉穿孔在球囊导管杆部断裂后用破裂的膨胀球囊永久封堵：一例报告
Cureus. 2024 May 14;16(5):e60295. doi: 10.7759/cureus.60295. eCollection 2024 May.
10
A case report of an iatrogenic coronary cameral fistula treated by retrograde percutaneous coronary intervention.经皮冠状动脉逆行介入治疗医源性冠状动脉心腔瘘1例报告
Eur Heart J Case Rep. 2020 May 3;4(3):1-6. doi: 10.1093/ehjcr/ytaa094. eCollection 2020 Jun.

本文引用的文献

1
Coronary-Cameral Fistula Caused by Guidewire Trauma and Resolved by Coil Embolization.导丝损伤所致冠状动脉-心腔瘘并经弹簧圈栓塞治愈
Tex Heart Inst J. 2016 Aug 1;43(4):338-40. doi: 10.14503/THIJ-15-5177. eCollection 2016 Aug.
2
Coronary arteriovenous fistulae: a review.冠状动脉瘘：综述
Int J Angiol. 2014 Mar;23(1):1-10. doi: 10.1055/s-0033-1349162.
3
Coronary arteriovenous fistula secondary to iatrogenic coronary perforation.医源性冠状动脉穿孔继发冠状动脉动静脉瘘
Rev Esp Cardiol (Engl Ed). 2014 Jun;67(6):490. doi: 10.1016/j.rec.2013.09.025. Epub 2014 Jan 28.
4
Iatrogenic fistula between the left anterior descending coronary artery and anterior interventricular vein following stenting.支架置入术后左前降支冠状动脉与前室间静脉之间的医源性瘘
J Invasive Cardiol. 2007 Jul;19(7):E188-91.
5
Coronary perforation during percutaneous coronary intervention.经皮冠状动脉介入治疗期间的冠状动脉穿孔
Int Heart J. 2007 Jan;48(1):1-9. doi: 10.1536/ihj.48.1.
6
Left anterior descending artery-to-right ventricle fistula and left ventricular free wall perforation after rotational atherectomy and stent implantation.
J Invasive Cardiol. 2005 Aug;17(8):450-1.
7
The changing pattern of coronary perforation during percutaneous coronary intervention in the new device era.新器械时代经皮冠状动脉介入治疗期间冠状动脉穿孔模式的变化
J Invasive Cardiol. 2004 Jun;16(6):257-301.