冠状动脉支架损失检索使用肺活检通过跨辐射方法-一个案例系列
Kamaraj Selvaraj1, Hartini Mohd Yusof1, Thurston Erng1
1Cardiology Department, Hospital Sultan Idris Shah, Serdang, Jalan Puchong, Kajang, Selangor Darul Ehsan, Malaysia.
概括
在冠状动脉干预期间失去支架是罕见但严重的. 一种新的技术,放射性动脉强迫检索 (RAFR),成功地通过放射性动脉外套检索了丢失的支架,提供了更安全的方法.
科学领域:
- 干预心脏病学 干预心脏病学
- 血管外科 血管外科
- 医疗设备检索 医疗设备检索
背景情况:
- 穿皮冠状动脉干预 (PCI) 期间失去支架是一种罕见但严重的并发症.
- 跨射线方法在支架检索方面提出了独特的挑战,原因是血管口径较小,形度增加,相比转骨管方法.
研究的目的:
- 描述一种新的技术,通过跨辐射方法在PCI期间检索脱落的冠状动脉支架.
- 为了引入放射性动脉强迫器检索 (RAFR) 技术.
主要方法:
- 一个由四名患者组成的病例系列,在PCI过程中通过跨辐射接入经历了冠状动脉支架损失.
- 使用肺活检子穿过放射性动脉外以提取支架.
- 这项技术被命名为辐射动脉强迫检索 (RAFR).
主要成果:
- 在所有四个案例中,使用RAFR技术成功地检索了丢失的冠状动脉支架.
- 该RAFR技术被证明是有效的通过跨辐射外取出支架.
- 在检索过程中没有报告任何重大并发症.
结论:
- 放射性动脉强迫检索 (RAFR) 技术是一种可行且有效的方法,用于管理跨辐射PCI期间的冠状动脉支架损失.
- 在放射性动脉方法中,RAFR为具有挑战性的支架取出场景提供了可行的解决方案.
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