Ramsdale D R, Mushahwar S S, Morris J L
The Cardiothoracic Centre, Liverpool, England.
Cathet Cardiovasc Diagn. 1998 Nov;45(3):310-3. doi: 10.1002/(sici)1097-0304(199811)45:3<310::aid-ccd20>3.0.co;2-j.
Coronary artery perforation is an unusual but well recognised complication of Percutaneous Transluminal Coronary Angioplasty (PTCA) and coronary atherectomy and may lead to hemopericardium and cardiac tamponade. If the perforation cannot be sealed by prolonged inflation with a perfusion balloon catheter, emergency cardiac surgery is usually necessary. This case report describes the potential use of a "covered" coronary artery stent for sealing perforations in the coronary circulation.
冠状动脉穿孔是经皮腔内冠状动脉成形术(PTCA)和冠状动脉斑块旋切术一种罕见但已被充分认识的并发症,可能导致心包积血和心脏压塞。如果使用灌注球囊导管长时间充气不能封闭穿孔,通常需要进行紧急心脏手术。本病例报告描述了“带膜”冠状动脉支架在封闭冠状动脉循环穿孔方面的潜在用途。