血管内超声检查并发急性冠状动脉闭塞

Acute coronary closure complicating intravascular ultrasound examination.

作者信息

Alfonso F, Macaya C, Goicolea J, Hernandez R, Segovia J, Zamorano J, Zarco P

机构信息

Cardiopulmonary Department, Hospital Universitario San Carlos, Madrid, Spain.

出版信息

Eur Heart J. 1994 May;15(5):710-2. doi: 10.1093/oxfordjournals.eurheartj.a060573.

DOI:10.1093/oxfordjournals.eurheartj.a060573

PMID:8056016

Abstract

A patient with an excellent angiographic result after directional atherectomy suffered an acute coronary closure during an intravascular ultrasound study performed after the intervention. Intravascular ultrasound revealed a large medial dissection which could be successfully managed only with intracoronary stenting. The pathogenesis and implications of this rare major complication are discussed.

摘要

一名患者在定向旋切术后血管造影结果极佳，但在介入治疗后进行的血管内超声检查期间发生了急性冠状动脉闭塞。血管内超声显示有一个大的中层夹层，仅通过冠状动脉内支架置入术才得以成功处理。本文讨论了这种罕见的主要并发症的发病机制及影响。