Salvadori Júnior D, Ferreira B M, Gebara O C, Beltrão P E, Mangione J A
Instituto de Cardiologia de São Paulo, Hospital Santa Paula.
Arq Bras Cardiol. 1997 May;68(5):363-5.
We reported two cases of patients that underwent left internal mammary (LIMA)-coronary bypass graft and developed recurrent myocardial ischemia in the follow-up period caused by stenosis in the subclavian artery. The angiography showed retrograde flow from the left anterior descending artery to subclavian artery. After initial dilatation with a conventional angioplasty balloon catheter, we implanted Palmaz-Schatz Stents, achieving an excellent final result. Our finding suggest that Stent implantation is a safe and effective procedure, and provides an alternative to other forms of revascularization for the treatment of this disorder.
我们报告了两例接受左乳内动脉(LIMA)-冠状动脉搭桥术的患者,他们在随访期间因锁骨下动脉狭窄而出现复发性心肌缺血。血管造影显示有从左前降支动脉到锁骨下动脉的逆向血流。在用传统血管成形术球囊导管进行初始扩张后,我们植入了帕尔马兹-沙茨支架,最终取得了极佳的效果。我们的研究结果表明,支架植入是一种安全有效的手术方法,为治疗这种疾病提供了一种替代其他血管重建形式的选择。