弹线圈封闭后的冠状动脉再通道:一个病例报告和文献综述
Chuanmin Jian1,2, Song Liu1, Kang Song3
1Department of Cardiovascular Medicine, The Affiliated Hospital of Qingdao University, Qingdao, China.
Medicine
|March 18, 2025
概括
先天性冠状动脉穿孔是罕见的. 弹线圈植入成功地治疗了在PCI期间无效气球封闭后的冠状动脉右心室,恢复了血液流动.
科学领域:
- 干预心脏病学 干预心脏病学
- 血管外科 血管外科
- 诊断成像 诊断成像 诊断成像
背景情况:
- 冠状动脉穿孔 (CAP) 是穿皮冠状动脉干预 (PCI) 的严重并发症.
- 先天性冠状动脉静脉是一个罕见的CAP病因,往往难以诊断.
- 区分先天性和获得的CAP对于适当的管理至关重要.
研究的目的:
- 在PCI期间报告一种先天性冠状动脉静脉囊病例,呈现为CAP.
- 突出与这种罕见疾病相关的诊断和治疗挑战.
- 强调先进的成像和干预技术的作用.
主要方法:
- 一名患者在PCI期间经历了CAP,气球封闭无效.
- 植入了一个弹线圈来绕过封闭的段落,意外地恢复了远端右冠状动脉 (RCA) 的通透性.
- 通过冠状动脉计算机断层扫描血管学和数字减去血管学 (DSA) 证实了诊断.
主要成果:
- 成功地恢复了RCA的血液供应.
- 冠状动脉再通道发生在弹线圈放置后.
- 根据临床表现和成像,该病症被确定为冠状动脉右心室.
结论:
- 虽然先天性CAP很少见,但需要通过冠状动脉血管学及时准确诊断才能有效管理.
- 冠状动脉静脉应考虑在PCI期间CAP的情况下,气球封闭失败和血动力学稳定.
- 在某些情况下,弹线圈栓塞可以是有效的治疗选择.
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