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高安动脉炎患者冠状动脉狭窄支架置入及旋磨术后复发性再狭窄

Recurrent restenosis following stent and rotational atherectomy of coronary artery stenosis in Takayasu's arteritis.

作者信息

Son J W, Koh K K, Dang Q, Choi I S, Shin E K

机构信息

Division of Cardiology, Heart Center, Gachon University, Gil Medical Center, Inchon, South Korea.

出版信息

Int J Cardiol. 1998 Aug;65(3):295-300. doi: 10.1016/s0167-5273(98)00126-0.

Abstract

We report a patient with Takayasu's arteritis who had recurrent restenosis following intracoronary bifurcation stenting of proximal left anterior descending and first diagonal arteries, and rotational atherectomy for in-stent restenosis. After all, the patient underwent coronary artery bypass grafts (CABG) and has remained asymptomatic during 3 months without damaging myocardium. We suggest that endoluminal stenting or rotational atherectomy may be an alternative treatment for the patients with coronary artery stenosis due to active Takayasu's arteritis as a therapy to postpone CABG.

摘要

我们报告了一名患有高安动脉炎的患者,该患者在左前降支近端和第一对角支动脉进行冠状动脉分叉支架置入术后出现复发性再狭窄,并因支架内再狭窄接受了旋磨术。最终,该患者接受了冠状动脉旁路移植术(CABG),在3个月内一直无症状,且心肌未受损伤。我们认为,对于因活动性高安动脉炎导致冠状动脉狭窄的患者,腔内支架置入术或旋磨术可能是一种替代治疗方法,可作为推迟CABG的一种治疗手段。

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