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用于冠状动脉远端穿孔的聚乙烯醇颗粒:单中心经验

Polyvinyl Alcohol Particles for Distal Coronary Artery Perforation: A Single-Center Experience.

作者信息

Gupta Sameer, Singh Shreya, Lal Purshotam, Kanwar Sandeep

机构信息

Department of Cardiology and Cardiac Research, Metro Hospital and Heart Institute, Noida, Uttar Pradesh, India.

Department of Pharmacology, Metro College of Health Sciences and Research, Greater Noida, Uttar Pradesh, India.

出版信息

J Soc Cardiovasc Angiogr Interv. 2025 Mar 11;4(4):102575. doi: 10.1016/j.jscai.2025.102575. eCollection 2025 Apr.

DOI:10.1016/j.jscai.2025.102575
PMID:40308247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12038259/
Abstract

Perforation of the coronary artery during percutaneous intervention is a feared complication as it may cause cardiac tamponade, acute myocardial infarction, or death. We present a single-center experience of the usage of polyvinyl alcohol for treatment of distal coronary artery perforations when conventional balloon inflation did not suffice. A total of 9 patients were treated in this case series. Our case series suggests that embolization with polyvinyl alcohol particles is a safe procedure for the management of distal coronary artery perforations.

摘要

经皮介入治疗期间冠状动脉穿孔是一种令人担忧的并发症,因为它可能导致心脏压塞、急性心肌梗死或死亡。我们介绍了在传统球囊扩张不足以治疗冠状动脉远端穿孔时使用聚乙烯醇的单中心经验。本病例系列共治疗了9例患者。我们的病例系列表明,用聚乙烯醇颗粒进行栓塞是治疗冠状动脉远端穿孔的一种安全方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d59d/12038259/13582965291d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d59d/12038259/13582965291d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d59d/12038259/13582965291d/gr1.jpg

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本文引用的文献

1
Safety and Efficacy of Polyvinyl Alcohol Granules in Treating Type II and III Coronary Artery Perforation.聚乙烯醇颗粒治疗Ⅱ型和Ⅲ型冠状动脉穿孔的安全性和有效性
Int J Gen Med. 2024 Aug 23;17:3663-3670. doi: 10.2147/IJGM.S474746. eCollection 2024.
2
Novel Approaches to Coronary Perforations: Everything But the Kitchen Sink.冠状动脉穿孔的新方法:应有尽有。
JACC Case Rep. 2022 Feb 2;4(3):142-144. doi: 10.1016/j.jaccas.2021.12.019.
3
"Incidence, clinical and angiographic characteristics, management and outcomes of coronary artery perforation at a high volume cardiac care center during percutaneous coronary intervention".
"在高容量心脏护理中心进行经皮冠状动脉介入治疗期间冠状动脉穿孔的发生率、临床和血管造影特征、处理和结局"。
Indian Heart J. 2020 Jul-Aug;72(4):232-238. doi: 10.1016/j.ihj.2020.07.012. Epub 2020 Jul 17.
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Management and outcomes of coronary artery perforations treated with the block and deliver technique.采用封堵器输送技术治疗冠状动脉穿孔的处理和结果。
Catheter Cardiovasc Interv. 2021 Aug 1;98(2):238-245. doi: 10.1002/ccd.29241. Epub 2020 Aug 28.
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Embolization in trauma: principles and techniques.创伤中的栓塞术:原理与技术
Semin Intervent Radiol. 2010 Mar;27(1):14-28. doi: 10.1055/s-0030-1247885.
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Management of guidewire-induced coronary artery perforations through transradial route - A simple approach.经桡动脉途径处理导丝引起的冠状动脉穿孔——一种简单方法
J Invasive Cardiol. 2009 Dec;21(12):E248-51.
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Management of right coronary artery perforation during percutaneous coronary intervention with polyvinyl alcohol foam embolization particles.经皮冠状动脉介入治疗时右冠状动脉穿孔的聚乙烯醇泡沫栓塞颗粒治疗
J Invasive Cardiol. 2004 Dec;16(12):727-8.
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Polyvinyl alcohol foam particle sizes and concentrations injectable through microcatheters.
J Vasc Interv Radiol. 1998 Jan-Feb;9(1 Pt 1):113-8. doi: 10.1016/s1051-0443(98)70492-0.