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.
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.
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。
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