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[在先前接受过左乳内动脉前降支搭桥手术的患者中使用支架治疗锁骨下动脉狭窄]

[Treatment of subclavian artery stenosis with stents in patients previously treated with internal mammary left anterior descending artery bypass surgery].

作者信息

Salvadori Júnior D, Ferreira B M, Gebara O C, Beltrão P E, Mangione J A

机构信息

Instituto de Cardiologia de São Paulo, Hospital Santa Paula.

出版信息

Arq Bras Cardiol. 1997 May;68(5):363-5.

PMID:9497526
Abstract

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.

摘要

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。

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