Guidezilla?导引延长导管在复杂冠状动脉病变中的初步应用经验Preliminary application experience of Guidezilla? guide extension catheter during complex coronary percutaneous coronary intervention procedure
王炳勋,宋志远,彭万忠,马增才,耿涛,袁永刚,刘华,徐泽升
摘要(Abstract):
目的观察Guidezilla?导引延长导管在复杂冠状动脉病变行经皮冠状动脉介入治疗(PCI)中应用的安全性和有效性。方法 13例患者均为冠状动脉复杂病变,PCI术中球囊或支架难以送达靶病变时,应用Guidezilla?导引延长导管技术。结果 13例患者中慢性完全闭塞病变7例,钙化病变7例,迂曲病变6例,弥漫病变8例,远段病变8例,靶血管有支架置入史8例。13例患者手术均获成功,术后靶血管残余狭窄<20%,TIMI血流Ⅲ级。1例术中发生Guidezilla?导管嵌顿,于该处置入支架后改善。无血管夹层或破裂、急性支架内血栓、导丝所致的穿孔和心脏压塞等事件发生。结论 Guidezilla?导引延长导管用于复杂冠状动脉病变行PCI是安全、有效的。
关键词(KeyWords): 复杂冠状动脉病变;经皮冠状动脉介入治疗;Guidezilla~(TM)导引延长导管
基金项目(Foundation):
作者(Author): 王炳勋,宋志远,彭万忠,马增才,耿涛,袁永刚,刘华,徐泽升
参考文献(References):
- [1]王伟民,霍勇,葛均波,等.冠状动脉钙化病变诊治中国专家共识.中国介入心脏病学杂志,2014,22(2):69-73.
- [2]王炳勋,徐泽升,宋志远,等.应用子母导管技术完成复杂急诊PCI1例.临床心血管病杂志,2014,30(3):270-272.
- [3]Takahashi S,Saito S,Tanaka S,et a1.New method to increase a backup support of a 6 French guiding coronary catheter.Catheter Cardiovasc Interv,2004,63(4):452-456.
- [4]Mamas A,Eichh?fer J,Hendry C,et al.Use of the HeartrailⅡcatheter as a distal stent delivery device:an extended case series.Euro Intervention,2009,5(2):265-271.
- [5]Papayannis AC,Michael TT,Brilakis ES.Challenges associated with use of the guideliner catheter in percutaneous coronary interventions.J Invasive Cardiol,2012,24(7):370-371.
- [6]Waggoner T,Desai H,Sanghvi K.A unique complication of the Guide Zilla guide extension support catheter and the risk of stent stripping in interventional&endovascular interventions.Indian Heart J,2015,67(4):381-384.