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旋磨术治疗后成功取出断裂的血管内超声导管尖端

Successful Retrieval of a Fractured Intravascular Ultrasound Catheter Tip Following Rotational Atherectomy Treatment.

作者信息

Wu Mengzhang, Ding Zhenzhen, Qin Qing, Ren Daoyuan, Xu Rende, Ma Jianying, Ge Junbo

机构信息

Department of Cardiology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, Fujian, China.

Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai, China; Shanghai Institute of Cardiovascular Diseases, Shanghai, China.

出版信息

JACC Case Rep. 2025 May 21;30(11):103318. doi: 10.1016/j.jaccas.2025.103318. Epub 2025 Apr 9.

DOI:10.1016/j.jaccas.2025.103318
PMID:40409837
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12243057/
Abstract

Detachment and fracture of intravascular ultrasound (IVUS) catheters is an infrequent complication during percutaneous coronary intervention (PCI). This report describes the successful retrieval of a fractured IVUS catheter tip from the left anterior descending artery (LAD) using the guidewire braiding technique after rotational atherectomy. To our knowledge, this is the first report of rotational atherectomy being used when the protective sheath of the IVUS catheter is left in the coronary artery.

摘要

血管内超声(IVUS)导管的分离和断裂是经皮冠状动脉介入治疗(PCI)期间罕见的并发症。本报告描述了在旋磨术之后,使用导丝编织技术成功从左前降支(LAD)取出断裂的IVUS导管尖端。据我们所知,这是IVUS导管保护鞘留在冠状动脉内时使用旋磨术的首例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/12243057/6fe711a44b49/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/12243057/c3c7179ceec6/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/12243057/511322dca676/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/12243057/7a019a44aa8d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/12243057/2bc3ebc721ba/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/12243057/002a36090ba1/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/12243057/25d2f08635ef/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/12243057/6fe711a44b49/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/12243057/c3c7179ceec6/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/12243057/511322dca676/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/12243057/7a019a44aa8d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/12243057/2bc3ebc721ba/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/12243057/002a36090ba1/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/12243057/25d2f08635ef/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/12243057/6fe711a44b49/gr6.jpg

相似文献

1
Successful Retrieval of a Fractured Intravascular Ultrasound Catheter Tip Following Rotational Atherectomy Treatment.旋磨术治疗后成功取出断裂的血管内超声导管尖端
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Percutaneous transluminal rotational atherectomy for coronary artery disease.经皮腔内冠状动脉旋磨术治疗冠状动脉疾病。
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本文引用的文献

1
Incidence, retrieval methods, and outcomes of intravascular ultrasound catheter stuck within an implanted stent: Systematic literature review.血管内超声导管在植入支架内嵌顿的发生率、取出方法和结局:系统文献回顾。
J Cardiol. 2020 Feb;75(2):164-170. doi: 10.1016/j.jjcc.2019.07.005. Epub 2019 Aug 13.
2
Safety and Efficacy of Stentablation with Rotational Atherectomy for the Management of Underexpanded and Undilatable Coronary Stents.使用旋磨术进行支架消融治疗未充分扩张和无法扩张的冠状动脉支架的安全性和有效性。
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Catheter Cardiovasc Interv. 2017 Aug 1;90(2):E19-E24. doi: 10.1002/ccd.26836. Epub 2016 Nov 10.
4
Unexpected complication- fracture of the IVUS catheter and percutaneous retrieval of a broken IVUS catheter tip from the right coronary artery.意外并发症——血管内超声导管断裂及经皮从右冠状动脉取出断裂的血管内超声导管尖端。
Anadolu Kardiyol Derg. 2012 Oct 23;12(7):E33-4. doi: 10.5152/akd.2012.203.
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Successful retrieval of a broken intravascular ultrasound catheter tip from a coronary artery.成功从冠状动脉中取出断裂的血管内超声导管尖端。
Cardiovasc Revasc Med. 2012 Jul-Aug;13(4):238-40. doi: 10.1016/j.carrev.2012.02.006. Epub 2012 Mar 28.
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Successful retrieval of a broken intravascular ultrasound catheter tip in the coronary artery.成功取出冠状动脉内断裂的血管内超声导管尖端。
J Invasive Cardiol. 2010 Oct;22(10):E197-200.
7
Safety of intracoronary ultrasound: data from a Multicenter European Registry.冠状动脉内超声检查的安全性:来自欧洲多中心注册研究的数据。
Cathet Cardiovasc Diagn. 1996 Jul;38(3):238-41. doi: 10.1002/(SICI)1097-0304(199607)38:3<238::AID-CCD3>3.0.CO;2-9.