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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.

DOI:10.20471/acc.2024.63.s1.4
PMID:40599469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12207854/
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/5789/12207854/78d801da0b1b/acc-63_supp1-23-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5789/12207854/7889044796bc/acc-63_supp1-23-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5789/12207854/807aaf05085e/acc-63_supp1-23-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5789/12207854/ce4618b7c30c/acc-63_supp1-23-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5789/12207854/d61fe9cb0dbd/acc-63_supp1-23-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5789/12207854/78d801da0b1b/acc-63_supp1-23-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5789/12207854/7889044796bc/acc-63_supp1-23-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5789/12207854/807aaf05085e/acc-63_supp1-23-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5789/12207854/ce4618b7c30c/acc-63_supp1-23-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5789/12207854/d61fe9cb0dbd/acc-63_supp1-23-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5789/12207854/78d801da0b1b/acc-63_supp1-23-f4.jpg

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本文引用的文献

1
Successful deployment of a dislodged sirolimus-eluting stent with a small-balloon technique.采用小球囊技术成功植入移位的西罗莫司洗脱支架。
J Cardiol Cases. 2013 Sep 26;8(5):155-157. doi: 10.1016/j.jccase.2013.07.009. eCollection 2013 Nov.
2
Stent loss and retrieval during percutaneous coronary interventions: a systematic review and meta-analysis.经皮冠状动脉介入治疗期间的支架丢失与回收：一项系统评价和荟萃分析。
J Invasive Cardiol. 2013 Dec;25(12):637-41.
3
Incidence, retrieval methods, and outcomes of stent loss during percutaneous coronary intervention: a large single-center experience.
经皮冠状动脉介入治疗期间支架丢失的发生率、检索方法及结果：一项大型单中心经验
Catheter Cardiovasc Interv. 2005 Nov;66(3):333-40. doi: 10.1002/ccd.20449.