异常病因的手术内急性支架血栓形成
Binayendu Prakash1, Tapan Kumar1, Sritam Acharya1
1Cardiology, Tata Main Hospital, Jamshedpur, IND.
Cureus
|October 6, 2025
概括
急性支架血栓形成,这是皮肤穿冠状动脉干预 (PCI) 的罕见并发症,可能是由手术棉纤维引起的. 在导管实验室中,严格的无菌技术和无毛的材料对于预防至关重要.
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:
- 支架血栓是通过皮肤冠状动脉干预 (PCI) 后的一种罕见但严重的并发症.
- 它通常与支架相关的问题,患者因素和程序并发症有关.
- 不寻常的原因需要调查,以提高患者的安全.
研究的目的:
- 报告两例急性支架血栓形成的独特病例.
- 为了确定原因,从手术材料中缩的棉纤维 (丝带) 来确定原因.
- 强调污染控制对于预防此类事件的重要性.
主要方法:
- 在PCI后立即出现急性支架血栓的两名患者的病例报告.
- 诊断程序包括抽血栓以确定原因.
- 干预措施包括重复抽血栓,冠心内药物治疗和气球扩张.
主要成果:
- 血栓抽样检测显示,在两种情况下,有纤维的外来物质被确定为棉纤维.
- 在干预后成功恢复了冠状动脉血流 (TIMI III).
- 确定的原因是手术窗和重复使用的仪器中的毛栓塞.
结论:
- 棉纤维的栓塞是急性支架血栓形成的罕见但可以预防的原因.
- 严格遵守无菌技术和在导管实验室使用无毛的材料是必不可少的.
- 提高意识和预防方案可以最大限度地减少这些严重并发症的发生率.
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