Ohmoto Y, Ikari Y, Hara K
Cardiovascular Center, Mitsui Memorial Hospital, Tokyo, Japan.
Int J Cardiol. 1996 Aug;55(3):289-91. doi: 10.1016/0167-5273(96)02671-x.
Directional coronary atherectomy has been applied to aorto-ostial lesions with higher success and lower complication rates than conventional balloon angioplasty. Aortic injuries have been reported with this technique, most resulting from the tip of the catheter. In this report, an aortic dissection caused by the shaft of the directional coronary atherectomy catheter is described.
定向冠状动脉斑块旋切术已应用于主动脉开口处病变,与传统球囊血管成形术相比,成功率更高,并发症发生率更低。有报道称该技术会导致主动脉损伤,多数是由导管尖端引起的。在本报告中,描述了一例由定向冠状动脉斑块旋切术导管杆部导致的主动脉夹层。