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复发性导管诱发的冠状动脉痉挛。

Recurrent catheter-induced coronary artery spasm.

作者信息

Raizner A E, Ishimori T, Chahine R A

出版信息

Cathet Cardiovasc Diagn. 1977;3(2):187-94. doi: 10.1002/ccd.1810030212.

DOI:10.1002/ccd.1810030212
PMID:872212
Abstract

Catheter-induced spasm has generally been considered to represent an iatrogenic phenomenon without important clinical significance. This report describes two patients who developed catheter-induced spasm in the proximal segment of the right coronary artery in separate studies performed in different laboratories by means of different catheter techniques. One of these patients developed right coronary spasm on three occasions and, in addition, developed catheter-induced spasm of the left main trunk during two different studies. These observations would add support to the hypothesis that a predisposition to coronary artery spasm may exist in certain individiuals. Catheter-induced spasm deserves attention, since it may provide a means of identifying spasm-prone individuals.

摘要

导管诱发的痉挛通常被认为是一种医源性现象,没有重要的临床意义。本报告描述了两名患者,他们在不同实验室采用不同导管技术进行的单独研究中,在右冠状动脉近端发生了导管诱发的痉挛。其中一名患者三次发生右冠状动脉痉挛,此外,在两项不同研究中还发生了左主干导管诱发的痉挛。这些观察结果将支持这样一种假设,即某些个体可能存在冠状动脉痉挛的易感性。导管诱发的痉挛值得关注,因为它可能提供一种识别易痉挛个体的方法。

相似文献

1
Recurrent catheter-induced coronary artery spasm.复发性导管诱发的冠状动脉痉挛。
Cathet Cardiovasc Diagn. 1977;3(2):187-94. doi: 10.1002/ccd.1810030212.
2
Left main coronary artery spasm. A potential cause for angiographic misdiagnosis of severe coronary artery disease.
Arch Intern Med. 1976 Mar;136(3):350-1. doi: 10.1001/archinte.136.3.350.
3
Coronary artery spasm as the cause of myocardial infarction during coronary arteriogarphy.冠状动脉痉挛作为冠状动脉造影期间心肌梗死的病因
Am Heart J. 1976 Apr;91(4):501-6. doi: 10.1016/s0002-8703(76)80333-x.
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Catheter-induced coronary artery spasm: an angiographic manifestation of vasospastic angina?
Am Heart J. 1983 Oct;106(4 Pt 1):659-65. doi: 10.1016/0002-8703(83)90083-2.
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Catheter-induced Spasm in the Proximal Right Coronary Artery.导管诱发的右冠状动脉近端痉挛
Intern Med. 2019 Jan 1;58(1):21-30. doi: 10.2169/internalmedicine.1483-18. Epub 2018 Aug 10.
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The incidence and clinical implications of coronary artery spasm.冠状动脉痉挛的发病率及临床意义。
Circulation. 1975 Dec;52(6):972-8. doi: 10.1161/01.cir.52.6.972.
7
Coronary spasm: Prinzmetal's variant angina vs. catheter-induced spasm; refractory spasm vs. fixed stenosis.冠状动脉痉挛:变异型心绞痛与导管诱导性痉挛;难治性痉挛与固定性狭窄。
AJR Am J Roentgenol. 1979 Jun;132(6):897-904. doi: 10.2214/ajr.132.6.897.
8
Coronary artery catheter-induced spasm.
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CT angiography unmasking catheter-induced spasm as a reason for left main coronary artery stenosis.CT血管造影揭示导管诱发的痉挛是左主干冠状动脉狭窄的一个原因。
J Cardiovasc Comput Tomogr. 2008 Nov;2(6):406-7. doi: 10.1016/j.jcct.2008.10.001. Epub 2008 Oct 10.
10
Prolonged asymptomatic catheter-induced left and right coronary artery spasm resistant to high dose of intracoronary nitroglycerin.长时间无症状的导管诱导的左、右冠状动脉痉挛,对大剂量冠状动脉内硝酸甘油耐药。
Cardiologia. 1992 Oct;37(10):701-4.

引用本文的文献

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Cureus. 2020 Mar 29;12(3):e7456. doi: 10.7759/cureus.7456.
2
Catheter steering in interventional cardiology: Mechanical analysis and novel solution.介入心脏病学中的导管操控:力学分析与新解决方案
Proc Inst Mech Eng H. 2019 Dec;233(12):1207-1218. doi: 10.1177/0954411919877709. Epub 2019 Oct 3.
3
Catheter-induced Spasm in the Proximal Right Coronary Artery.导管诱发的右冠状动脉近端痉挛
Intern Med. 2019 Jan 1;58(1):21-30. doi: 10.2169/internalmedicine.1483-18. Epub 2018 Aug 10.