获取外围脱离的冠状动脉支架:最后的手段
Lavina Chandwani1, Saurabh Kumar Singh1,2, Anbhigya Kumar Arya1
1Cardiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, IND.
Cureus
|March 17, 2025
概括
在穿皮冠状动脉干预 (PCI) 中,左主冠状动脉 (LMCA) 的支架脱离,迁移到臂动脉. 经过不成功的穿皮检索尝试,最终需要进行外科切除.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 血管外科 血管外科
背景情况:
- 穿皮冠状动脉干预 (PCI) 是治疗冠状动脉疾病的常见程序.
- 虽然很少见,但PCI期间可能会出现并发症,包括支架部署失败和栓塞.
- 由于血管的关键位置,左主冠状动脉 (LMCA) 干预具有固有的风险.
研究的目的:
- 在LMCA PCI期间报告罕见的并发症,包括支架脱落和栓塞.
- 突出突出的冠状动脉支架的挑战和成功管理.
- 讨论对干预和血管外科手术程序的影响.
主要方法:
- 一份病例报告,详细介绍了先前LMCA支架的患者的PCI程序.
- 并发症的描述:支架脱落,右臂动脉栓塞.
- 检索尝试的文档:穿皮方法失败,通过动脉切除术成功切除.
主要成果:
- 一个支架在PCI期间脱离其气球的左前下降损伤远距离LMCA支架.
- 脱离的支架栓塞到右臂动脉,导致血液动力学妥协.
- 经过手臂动脉切除术的手术切除是成功的,在多次穿皮检索尝试失败后.
结论:
- 支架栓塞是PCI的一种罕见但严重的并发症.
- 像LMCA这样复杂的解剖位置在PCI期间可能会带来独特的挑战.
- 当通过皮肤检索失败时,手术仍然是管理脱落冠状动脉支架的可行选择.
关键词:
动脉动脉切除术 (arteriotomy) 是一种动脉切除术.药物释放支架 (des) 是一种药物释放支架.臂动脉的高分支 臂动脉高分支皮肤穿透冠状动脉干预 (PCI)支架移位 支架移位 支架移位更多相关视频
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