Cardenas J R, Strumpf R K, Heuser R R
Department of Cardiology, Arizona Heart Institute and Foundation, Phoenix 85006, USA.
Cathet Cardiovasc Diagn. 1995 Sep;36(1):53-7; discussion 58. doi: 10.1002/ccd.1810360113.
Restenotic lesions at distal saphenous vein graft (SVG) anastomoses have been notoriously difficult to treat with standard angioplasty techniques. We explored the potential of rotational atherectomy in three patients with nonthrombotic, focal restenoses at the SVG touch down. The Rotablator safely and successfully recanalized the lesions, allowing further treatment with dilation or stenting or both. Rotational atherectomy may warrant investigation as a treatment for nonthrombotic restenotic SVG lesions.
大隐静脉桥血管(SVG)远端吻合口处的再狭窄病变一直以来都极难通过标准血管成形术进行治疗。我们对3例SVG吻合口处出现非血栓性局灶性再狭窄的患者,探讨了旋磨术的治疗潜力。旋磨仪安全且成功地使病变再通,从而能够进一步采用球囊扩张或支架置入术或二者联合进行治疗。旋磨术可能值得作为非血栓性SVG再狭窄病变的一种治疗方法加以研究。