穿孔管理在分叉冠状动脉干预设置中的分析
Rayyan Hemetsberger1, Anass Maaroufi2, Kevin Hamzaraj1
1Department of Cardiology, Internal Medicine II, Medical University of Vienna, Vienna, Austria.
概括
高尖载荷电线可以成功地穿透覆盖的支架,以管理冠状动脉穿孔后被监禁的侧枝. 像Culotte这样的带有药物排泄支架 (DES) 的技术为复杂的分叉干预提供了可行的解决方案.
科学领域:
- 干预心脏病学 干预心脏病学
- 生物材料科学 生物材料科学
背景情况:
- 穿皮冠状动脉干预 (PCI) 在分叉病变中的冠状动脉穿孔,特别是在使用覆盖式支架时,会带来重大管理挑战.
- 在覆盖式支架部署后,确保被监禁的侧枝 (SB) 非常重要,以防止并发症.
研究的目的:
- 评估高尖负载电线在穿透覆盖式支架以进入被监禁的侧枝 (SB) 的有效性.
- 评估不同的皮肤冠状动脉干预 (PCI) 技术,以管理在台式模型中植入覆盖式支架后被监禁的分支.
主要方法:
- 一个长椅模型被用来测试电线和微导管,用于穿透被覆盖的支架进入被监禁的侧枝 (SB).
- 评估了四种PCI技术,包括用覆盖式支架模拟主要分支 (MB) 破裂,移植透,亲吻气球膨胀 (KBI) 和使用药物排泄支架 (DES) 或覆盖式支架的Culotte技术.
主要成果:
- 高尖负载线 (>12g) 证明在14秒内成功穿透覆盖的支架.
- 最初的技术显示流明面积减少;转换到Culotte与DES改进了SB流明减少.
- 悬挂的移植材料通过使用DES的超支架成功解决了问题,从而增加了光量.
结论:
- 高尖负载电线有效地通过植入后的覆盖式支架进入被监禁的分支.
- 使用DES或第二个覆盖式支架的Culotte技术可用于管理冠状动脉穿孔的分叉.
- 在这种模型中,使用DES的超可以有效地管理在SB窗格化后的移植超.
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