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双支架分叉技术中无法提供最终接吻球囊的后果。

CONSEQUENCES OF THE IMPOSSIBILITY TO PROVIDE A FINAL KISSING BALLOON IN DUAL STENT BIFURCATION TECHNIQUE.

作者信息

Vučković Marin, Šarić Sandra

机构信息

Department of Cardiology, Osijek University Hospital Centre, Osijek, Croatia.

Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.

出版信息

Acta Clin Croat. 2024 Mar;63(Suppl1):43-46. doi: 10.20471/acc.2024.63.s1.8.

Abstract

Final kissing balloon is the cornerstone of double stent techniques for bifurcation lesions. It provides restoring of the optimal anatomic and physiological features of coronary artery bifurcations. Skipping this step can lead to catastrophic consequences, and resolving complication can be very challenging despite all available tools and tricks. Some interventional tools can be helpful but can also result in new complications. This is a case report on an unsuccessfull attempt of resolving an acute complication after coronary artery bifurcation stenting with two-stent technique, despite all tricks we had in our pocket at that time. In this report, we will also show problems that can occure when trying to cross stent strat with microcatheter, and use of intracoronary imaging in resolving foreign body location.

摘要

最终亲吻球囊是分叉病变双支架技术的基石。它能恢复冠状动脉分叉处的最佳解剖和生理特征。跳过这一步可能会导致灾难性后果,尽管有各种可用的工具和技巧,解决并发症仍极具挑战性。一些介入工具可能会有帮助,但也可能导致新的并发症。这是一例关于使用双支架技术进行冠状动脉分叉支架置入术后急性并发症处理失败的病例报告,尽管当时我们已穷尽所有技巧。在本报告中,我们还将展示使用微导管穿过支架网时可能出现的问题,以及冠状动脉内成像在确定异物位置方面的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ea/12207857/0729b24e848a/acc-63_supp1-43-f1.jpg

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