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经桡动脉冠状动脉介入治疗期间取出保留在升主动脉内的完全断裂导引导管的新技术：一例报告

Novel Technique in Retrieving a Completely Fractured Guiding Catheter Retained in the Ascending Aorta During Transradial Percutaneous Coronary Intervention: A Case Report.

作者信息

Chua Jia Min, Lueng Ong Paul Jau, Bang Low Randal Jun

机构信息

Khoo Teck Puat Hospital, National Healthcare Group Singapore.

Mount Elizabeth Novena Hospital Singapore.

出版信息

Interv Cardiol. 2025 Aug 14;20:e22. doi: 10.15420/icr.2025.15. eCollection 2025.

DOI:10.15420/icr.2025.15
PMID:40900899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12400171/
Abstract

Complete fracture of a guiding catheter is a rare, but potentially serious, complication of percutaneous coronary intervention. Options for removal include endovascular retrieval devices or surgery. A rare case of a fractured guiding catheter with its tip in the ascending aorta and its successful retrieval using a combination of home-made snare, kissing guiding catheter and balloon trekking technique is reported.

摘要

引导导管完全断裂是经皮冠状动脉介入治疗中一种罕见但可能严重的并发症。取出方法包括血管内取出装置或手术。本文报告了1例引导导管尖端位于升主动脉的断裂病例，并通过自制圈套器、亲吻引导导管和球囊追踪技术成功取出。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed4/12400171/80aca43c1285/icr-20-e22-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed4/12400171/93b76f3a1c3a/icr-20-e22-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed4/12400171/61f3b2b04bb2/icr-20-e22-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed4/12400171/80aca43c1285/icr-20-e22-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed4/12400171/93b76f3a1c3a/icr-20-e22-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed4/12400171/61f3b2b04bb2/icr-20-e22-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed4/12400171/80aca43c1285/icr-20-e22-g003.jpg

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本文引用的文献

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Conservative management of broken guidewire: Case reports.折断导丝的保守处理：病例报告
SAGE Open Med Case Rep. 2014 Oct 14;2:2050313X14554478. doi: 10.1177/2050313X14554478. eCollection 2014.
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Fatal subacute stent thrombosis induced by guidewire fracture with retained filaments in the coronary artery.冠状动脉内导丝断裂并遗留纤维丝导致致命性亚急性支架内血栓形成。
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冠状动脉造影期间成功取出断裂的导管尖端。
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Complete fracture of an Ikari guiding catheter in the axillary artery during transradial coronary intervention.经桡动脉冠状动脉介入治疗期间，Ikari引导导管在腋动脉发生完全断裂。
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J Invasive Cardiol. 2012 Feb;24(2):74-5.
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Angiology. 1986 Oct;37(10):762-5. doi: 10.1177/000331978603701010.
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