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[慢性闭塞病变的再通及再闭塞过程中发生的心肌梗死。附2例报告]

[Recanalization of chronic occlusions and myocardial infarction occurring during reocclusion. Apropos of 2 cases].

作者信息

Furber A, Asfar P, Geslin P, Pézard P, Tadei A

机构信息

Service de cardiologie, CHU Angers.

出版信息

Arch Mal Coeur Vaiss. 1994 Sep;87(9):1237-40.

PMID:7646239
Abstract

Although recent techniques have significantly improved the frequency of disobliteration of chronic occlusions, the potential complications in terms of mortality, emergency bypass surgery and myocardial infarction seem as common as in angioplasty of stenosis. Of these complications, the occurrence of infarction during reocclusion at the site of angioplasty has not been described and even been refuted by some authors. We report two cases of acute infarction, one of which was transmural, occurring during late reocclusion after disobliteration of a chronically occluded artery.

摘要

尽管最近的技术显著提高了慢性闭塞再通的频率,但在死亡率、急诊搭桥手术和心肌梗死方面的潜在并发症似乎与狭窄血管成形术一样常见。在这些并发症中,血管成形术部位再闭塞期间梗死的发生尚未见报道,甚至一些作者对此予以否认。我们报告两例急性梗死病例,其中一例为透壁性梗死,发生在慢性闭塞动脉再通后的晚期再闭塞期间。

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