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补救性支架植入术后冠状动脉瘤:血管内超声诊断假腔

Coronary aneurysm after bailout stent implantation: diagnosis of a false lumen with intravascular ultrasound.

作者信息

Regar E, Klauss V, Henneke K H, Werner F, Theisen K, Mudra H

机构信息

Department of Medicine, Klinlkum Innenstadt, University of Munich, Germany.

出版信息

Cathet Cardiovasc Diagn. 1997 Aug;41(4):407-10. doi: 10.1002/(sici)1097-0304(199708)41:4<407::aid-ccd13>3.0.co;2-i.

DOI:10.1002/(sici)1097-0304(199708)41:4<407::aid-ccd13>3.0.co;2-i
PMID:9258484
Abstract

This case report describes the intravascular ultrasound (IVUS) evaluation of a coronary artery aneurysm, developed in a stented segment within 6 mo after bailout stenting. Analysis of the IVUS images provides in vivo insights in the vessel-remodeling process after mechanical injury. The proximal entrance of the false lumen could be clearly visualized as well as the relationship between the stent struts, neolumen, and vessel wall. The discussion is focused on the options for management of such patients.

摘要

本病例报告描述了对一例冠状动脉瘤的血管内超声(IVUS)评估,该动脉瘤在补救性支架置入术后6个月内在支架置入节段内形成。对IVUS图像的分析为机械损伤后血管重塑过程提供了体内见解。假腔的近端入口以及支架支柱、新生血管腔和血管壁之间的关系均可清晰显示。讨论聚焦于此类患者的治疗选择。

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Tex Heart Inst J. 2008;35(2):189-91; discussion 192.