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成功对植入丢失支架的靶病变进行经皮冠状动脉介入治疗。

SUCCESSFUL PERCUTANEOUS CORONARY INTERVENTION OF THE TARGET LESION WITH THE LOST STENT.

作者信息

Dragičević Maro, Premužić Meštrović Ivica, Marković Matija, Stipinović Mario, Kurtić Ena, Paulić Ivica, Letilović Tomislav

机构信息

Klinička bolnica Merkur, Zagreb, Hrvatska.

Medicinski fakultet Sveučilišta u Zagrebu, Zagreb, Hrvatska.

出版信息

Acta Clin Croat. 2024 Mar;63(Suppl1):23-25. doi: 10.20471/acc.2024.63.s1.4.

Abstract

The loss of a stent during percutaneous coronary intervention (PCI) is a rare complication of the procedure. Multiple manoeuvres for the stent extraction exist, using a small balloon being a common one (2). This case report demonstrates the loss of stent in the proximal segment of the RCA whose extraction attempt with a small size SCB failed. The SCB was unable to cross through the stent and kept pushing the stent distally up until the target location where it successfully crossed through the stent. Subsequent dilatation with larger size balloons achieved full stent expansion at the target location.

摘要

经皮冠状动脉介入治疗(PCI)过程中支架丢失是该手术罕见的并发症。目前存在多种用于取出支架的操作方法,使用小气球是常用的一种(2)。本病例报告展示了右冠状动脉近端支架丢失的情况,尝试使用小号球囊导管(SCB)取出失败。SCB无法穿过支架,持续将支架向远端推送,直至其成功穿过支架到达目标位置。随后使用更大尺寸的球囊进行扩张,使支架在目标位置完全展开。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5789/12207854/7889044796bc/acc-63_supp1-23-f5.jpg

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