Eeckhout E, Vogt P
Cardiology Division, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
Cathet Cardiovasc Diagn. 1998 Sep;45(1):54-6. doi: 10.1002/(sici)1097-0304(199809)45:1<54::aid-ccd12>3.0.co;2-l.
Rewiring of an occluded and incompletely deployed coronary stent with a sharp and/or tortuous entrance angle may be difficult in the emergency setting. We report the case of a patient who experienced subacute stent thrombosis in the proximal right coronary artery. Incorrect rewiring resulted in stent crush after conventional balloon angioplasty at lesion site. In order to improve the angiographic result parallel stent placement was performed. Repeat angiography at 6 months demonstrated vessel patency without restenosis.
在紧急情况下，对入口角度尖锐和/或迂曲的闭塞且未完全展开的冠状动脉支架进行重新布线可能很困难。我们报告了一例在右冠状动脉近端发生亚急性支架血栓形成的患者。在病变部位进行常规球囊血管成形术后，错误的重新布线导致支架受压。为了改善血管造影结果，进行了平行支架置入术。6个月时的重复血管造影显示血管通畅，无再狭窄。
