Hadjimiltiades S, Paraskevaides S, Kazinakis G, Louridas G
A' Cardiology Clinic, AHEPA General Hospital, Aristotelion University of Thessaloníki, Greece.
Cathet Cardiovasc Diagn. 1998 Dec;45(4):417-20. doi: 10.1002/(sici)1097-0304(199812)45:4<417::aid-ccd15>3.0.co;2-u.
Coronary perforation can be managed with prolonged balloon inflations, covered stents, or embolization of the vessel. We report on a case of a balloon-induced perforation of the distal left anterior descending artery, that was sealed by injecting preclotted autologous blood through the balloon catheter lumen at the site of the perforation. The patency of the distal vessel was maintained.
冠状动脉穿孔可通过延长球囊扩张、覆膜支架或血管栓塞来处理。我们报告一例由球囊导致的左前降支远端穿孔病例,通过在穿孔部位经球囊导管腔注入预凝的自体血将其封闭,远端血管保持通畅。