经桡动脉无保护左主干分叉严重钙化病变旋磨术一例
李长岭,蒋峻,孙勇,王建安
摘要(Abstract):
<正>患者男,68岁。主因"反复胸痛10个月,加重4 d"入院。既往有高血压病史20年、吸烟史50年(20支/d)。体格检查:血压143/73 mm Hg(1 mm Hg=0.133 kPa),心率79次/min,呼吸18次/min,心律齐,未闻及杂音,双肺呼吸音清,未闻及干湿啰音,双下肢无明显水肿。肌酸酐58μmol/L,低密度脂蛋白1.39 mmol/L。超声心动图示:射血分数67%,左心室舒张末内径4.9 cm,二尖瓣轻度反流。
关键词(KeyWords): 左主干;钙化病变;旋磨术
基金项目(Foundation):
作者(Author): 李长岭,蒋峻,孙勇,王建安
参考文献(References):
- [1]Boden WE,O'Rourke RA,Teo KK,et al.Optimal Medical Therapy with or without PCI for Stable Coronary Disease.N Engl J Med,2007,356:1503-1516.
- [2]Ziakas A,Klinke P,Mildenberger R,et al.Comparison of the radial and femoral approaches in left main PCI:a retrospective study.J Invasive Cardiology,2004,16:129-132.
- [3]Tejas P,Sanjay S,Samir P,et al.Working through complexities of radial and brachial vasculature during transradial approach.Cathet Cardiovasc Intervent,2013,[Epub ahead of print].
- [4]Fernando A,Jose MTH,Angel SR,et al.Clinical Impact of IVUS-guided Left Main PCI:Insights from the Multicenter Study ESTROFA-LM.American Journal of Cardiology,2013,111:41-44.
- [5]Jin-won S,Qianqian Z,Young C.Reconstruction of blood vessel model with adventitia from CT and IVUS images for FSI analysis.Inter J Prec Engineering Manu,2013,14:643-648.