Fischell T A, Drexler H
Cardiac Catheterization Laboratories, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Cathet Cardiovasc Diagn. 1996 Jun;38(2):218-21. doi: 10.1002/(SICI)1097-0304(199606)38:2<218::AID-CCD23>3.0.CO;2-D.
We report initial successful results using a novel retrograde cutting (pullback) atherectomy catheter (PAC) to treat complex bifurcation coronary artery disease, in 2 patients. In one case a bifurcation lesion involving the left anterior descending and a large diagonal branch was treated without the need for two-wire or kissing-balloon technique. In the second case a high-grade eccentric lesion of the right coronary artery at the site of a right ventricular marginal branch was treated successfully. This report describes the first clinical application of pullback atherectomy in human coronary circulation, and suggests that this device may play a useful role in the treatment of complex bifurcation coronary artery disease.
我们报告了使用一种新型逆行切割（回撤）斑块旋切导管（PAC）治疗2例复杂分叉冠状动脉疾病的初步成功结果。在1例病例中，累及左前降支和一大对角支的分叉病变得到治疗，无需使用双线或亲吻球囊技术。在第2例病例中，右冠状动脉在右心室边缘支部位的高度偏心病变得到成功治疗。本报告描述了回撤斑块旋切术在人体冠状动脉循环中的首次临床应用，并表明该器械可能在复杂分叉冠状动脉疾病的治疗中发挥有益作用。
