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原位胃网膜 - 冠状动脉搭桥移植血管成功经皮支架置入病例

Case of successful percutaneous stenting of an in situ gastroepiploic-coronary bypass graft.

作者信息

Roriz R, de Gevigney G D, Howarth N, Revel D

机构信息

Department of Interventional Radiology, Hôpital Cardio Vasculaire de Lyon, France.

出版信息

Cathet Cardiovasc Diagn. 1998 Sep;45(1):67-9. doi: 10.1002/(sici)1097-0304(199809)45:1<67::aid-ccd16>3.0.co;2-i.

Abstract

The in situ or free gastroepiploic artery (GEA) is being used as an arterial conduit for coronary artery bypass surgery (CABG). The recent rapid improvements in stent manufacture, particularly their profile and flexibility, and related equipment, have helped reduce complications of coronary angioplasty. We describe one case of successful stenting of an in situ GEA-posterior descending artery graft. Stenting of an in situ GEA graft may avoid an incomplete result of angioplasty with possible restenosis or the need for multiple surgical revascularization. The use of stents in GEA grafts with 6 Fr soft guiding catheters can be encouraged.

摘要

原位或游离胃网膜动脉(GEA)正被用作冠状动脉旁路移植术(CABG)的动脉管道。近期支架制造技术的快速改进,尤其是其外形和柔韧性,以及相关设备,有助于减少冠状动脉成形术的并发症。我们描述了一例成功对原位GEA-后降支动脉移植血管进行支架置入的病例。对原位GEA移植血管进行支架置入可避免血管成形术效果不佳伴可能的再狭窄或多次外科血运重建的需求。可鼓励在GEA移植血管中使用6F软引导导管进行支架置入。

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