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在迂曲血管中使用亲水涂层导丝导致冠状动脉远端穿孔。

Distal coronary artery perforation resulting from the use of hydrophilic coated guidewire in tortuous vessels.

作者信息

Wong C M, Kwong Mak G Y, Chung D T

机构信息

Cardiac Department, Sir Run Run Shaw Heart Centre, St. Teresa's Hospital, Kowloon, Hong Kong.

出版信息

Cathet Cardiovasc Diagn. 1998 May;44(1):93-6. doi: 10.1002/(sici)1097-0304(199805)44:1<93::aid-ccd22>3.0.co;2-p.

Abstract

We describe our experience with the ChoiCE PT (Boston Scientific Corporation, MN) guidewire, which resulted in perforation of the distal coronary artery in two instances. This newly introduced guidewire differs from earlier guidewires in its ability to cross lesions in tortuous arteries. However, when it buckles deep in the coronary artery, perforation can easily result. While the ChoiCE PT guidewire is a useful addition to our armamentarium in interventional procedures, it should be treated with care.

摘要

我们描述了使用ChoiCE PT(美敦力公司,明尼苏达州)导丝的经验,该导丝在两例患者中导致了冠状动脉远端穿孔。这种新推出的导丝与早期导丝的不同之处在于其穿越迂曲动脉病变的能力。然而,当它在冠状动脉深处弯曲时,很容易导致穿孔。虽然ChoiCE PT导丝是我们介入手术器械库中的一个有用补充,但使用时应小心谨慎。

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