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支架内支架介入治疗肺静脉支架再狭窄：1例长期随访病例报告

Stent-in-Stent Intervention for Pulmonary Vein in Stent Restenosis: A Long-Term Follow-Up Case Report.

作者信息

Buzwani Buzwani, Iversen Elisabeth, Ørn Stein, Herstad Jon, Chen Jian, Schuster Peter

机构信息

Department of Cardiology, Haukeland University Hospital, Bergen, Norway.

Department of Cardiology, Stavanger University Hospital, Stavanger, Norway.

出版信息

J Cardiovasc Electrophysiol. 2025 Jan;36(1):290-294. doi: 10.1111/jce.16506. Epub 2024 Nov 20.

DOI:10.1111/jce.16506
PMID:39568097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11727015/
Abstract

INTRODUCTION

Pulmonary vein (PV) restenosis develops with reported incidence rates of up to 50%. Balloon angioplasty seems to be the widely preferred treatment of choice.

METHOD AND RESULTS

A 54-year-old man with long history of atrial fibrillations developed PVS secondary to multiple radiofrequency ablation procedures. The stenosis was treated with a stent. 8.5 years later he presented with an in-stent restenosis that was successfully treated with a stent-in-stent strategy. He has since remained asymptomatic over 3 years of follow-up.

CONCLUSION

Our case demonstrates stenting as a viable alternative strategy with potentially favorable long-term outcome.

摘要

引言

肺静脉（PV）再狭窄发生率高达50%。球囊血管成形术似乎是广泛首选的治疗方法。

方法与结果

一名有长期房颤病史的54岁男性因多次射频消融手术继发肺静脉狭窄（PVS）。采用支架治疗该狭窄。8.5年后，他出现支架内再狭窄，采用支架套入支架策略成功治疗。此后在3年随访中一直无症状。

结论

我们的病例表明，支架置入术是一种可行的替代策略，可能具有良好的长期效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73e7/11727015/10000c8a1596/JCE-36-290-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73e7/11727015/ee2f440bdcfa/JCE-36-290-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73e7/11727015/070f1bab21c3/JCE-36-290-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73e7/11727015/10000c8a1596/JCE-36-290-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73e7/11727015/ee2f440bdcfa/JCE-36-290-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73e7/11727015/070f1bab21c3/JCE-36-290-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73e7/11727015/10000c8a1596/JCE-36-290-g001.jpg

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本文引用的文献

1
Pulsed-field ablation for repeat procedures after failed prior thermal ablation for atrial fibrillation.脉冲场消融用于既往热消融治疗心房颤动失败后的再次手术。
Heart Rhythm O2. 2024 Apr 4;5(5):257-265. doi: 10.1016/j.hroo.2024.03.012. eCollection 2024 May.
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Multi-national survey on the methods, efficacy, and safety on the post-approval clinical use of pulsed field ablation (MANIFEST-PF).多国关于脉冲场消融（MANIFEST-PF）上市后临床应用方法、疗效和安全性的调查。
Europace. 2022 Sep 1;24(8):1256-1266. doi: 10.1093/europace/euac050.
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Intravascular ultrasound-guided drug-coated balloon venoplasty for in-stent restenosis in pulmonary veins stenosis: a case report.
血管内超声引导下药物涂层球囊血管成形术治疗肺静脉狭窄支架内再狭窄：一例报告
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Reduction in Pulmonary Vein Stenosis and Collateral Damage With Pulsed Field Ablation Compared With Radiofrequency Ablation in a Canine Model.与射频消融相比，脉冲场消融可减少犬模型中的肺静脉狭窄和侧支损伤。
Circ Arrhythm Electrophysiol. 2020 Sep;13(9):e008337. doi: 10.1161/CIRCEP.120.008337. Epub 2020 Jul 27.
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Recurrent pulmonary vein stenosis after successful intervention: Prognosis and management of restenosis.肺静脉狭窄经成功介入治疗后复发：再狭窄的预后和处理。
Catheter Cardiovasc Interv. 2020 Apr 1;95(5):954-958. doi: 10.1002/ccd.28645. Epub 2019 Dec 19.
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Pulmonary Vein Stenosis and Cryoballoon Ablation.
JACC Clin Electrophysiol. 2019 Nov;5(11):1316-1318. doi: 10.1016/j.jacep.2019.08.018.
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Acquired Pulmonary Vein Stenosis After Radiofrequency Ablation for Atrial Fibrillation: Single-Center Experience in Catheter Interventional Treatment.房颤射频消融术后获得性肺静脉狭窄：导管介入治疗的单中心经验。
JACC Cardiovasc Interv. 2018 Aug 27;11(16):1626-1632. doi: 10.1016/j.jcin.2018.05.016.
8
Does second-generation cryoballoon ablation using the current single short freeze strategy produce pulmonary vein stenosis?第二代冷冻球囊消融术采用目前的单次短冷冻策略是否会导致肺静脉狭窄？
Int J Cardiol. 2018 Dec 1;272:175-178. doi: 10.1016/j.ijcard.2018.08.004. Epub 2018 Aug 4.
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Contributors Toward Pulmonary Vein Restenosis Following Successful Intervention.肺静脉再狭窄介入治疗后的贡献者。
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Long-term follow-up in patients treated by stent implantation for post-ablation pulmonary vein stenosis.经支架植入治疗消融后肺静脉狭窄患者的长期随访
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