复杂性 复杂性 复杂性 复杂性 复杂性 复杂性 复杂性 复杂性 复杂性 复杂性 复杂性 复杂性 复杂性 复杂性 复杂性
Jack Laffan1, James Shand2, Christopher Austin3
1Department of Cardiology, Belfast Health and Social Care Trust, Belfast, Northern Ireland.
JACC. Case reports
|February 18, 2025
概括
穿皮冠状动脉干预 (PCI) 期间的一种罕见并发症涉及导管导管尖端被困,导致支架提取. 管理策略包括指导导管延伸和大孔大腿部接入,用于类似的复杂PCI病例.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗器械并发症 医疗器械并发症
背景情况:
- 穿皮冠状动脉干预 (PCI) 是冠状动脉疾病的常见程序.
- 复杂的PCI案例可能会带来独特的挑战和潜在的并发症.
- 导管导管操纵对于成功的PCI手术至关重要.
研究的目的:
- 在PCI期间报告罕见的并发症,涉及导管导管陷.
- 讨论这种特定的PCI并发症的管理策略.
- 为干预性心脏病学家强调所学到的经验教训.
主要方法:
- 一个59岁的妇女的病例报告,患有非ST段升高心肌梗塞和严重的三血管冠状动脉疾病.
- 透皮冠状动脉干预程序的详细描述.
- 指导导管捕获和随后的支架提取的文件.
- 动脉动脉切割和冠状动脉旁路移植的外科修复.
主要成果:
- 最初进行了成功的穿皮冠状动脉干预.
- 发生了一种罕见的并发症:导管导管尖在部署的支架内被困.
- 左主环体支架被卷入并被提取到大动脉中.
- 患者需要进行大动脉剖析和冠状动脉旁路移植的手术修复.
结论:
- 导管导管被困是一种罕见但严重的PCI并发症.
- 考虑通过部署的支架延伸导管导管可以防止这种并发症.
- 在复杂的PCI病例中,应考虑使用大孔大腿.
- 及时识别和适当的管理对于患者的治疗结果至关重要.
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