真分叉病变术中并发冠状动脉穿孔一例
张磊,夏勇,马延峰,林慧
摘要(Abstract):
<正>1临床资料患者男,72岁,因"突发心前区疼痛、憋喘12 h余"入院。查体:血压134/74 mm Hg(1 mm Hg=0.133 k Pa),心率70次/min,双下肺可闻及湿性啰音,余无其他阳性体征。心电图示:Ⅰ、a VL、V3~V6导联T波倒置。超敏肌钙蛋白2.65μg/L(正常值<0.11μg/L)。诊断:冠心病,急性心肌
关键词(KeyWords): 改良的T支架术;冠状动脉穿孔;明胶海绵
基金项目(Foundation):
作者(Author): 张磊,夏勇,马延峰,林慧
参考文献(References):
- [1]Burzotta F,Gwon HC,Hahn JY,et al.Modified T-stenting withintentional protrusion of the side-branch stent within the main vessel stent to ensure ostial coverage and facilitate final kissing balloon:the T-stenting and small protrusion technique(TAPstenting).Report of bench testing and first clinical ItalianKorean two-centre experience.Catheter and Cardiovasc Interv,2007,70:75-82.
- [2]Shimony A,Joseph L,Mottillo S,et al.Coronary artery perforation during percutaneous coronary intervention:a systematic review and meta-analysis.Can J Cardiol,2011,27:843-850.
- [3]Stankovic G,Orlic D,Corvaja N,et al.Incidence,predictors,in-hospital,and late outcomes of coronary artery perforations.Am J Cardiol,2004,93:213-216.
- [4]Ellis SG,Ajluni S,Arnold A Z,et al.Increased coronary perforation in the new device era.Incidence,classification,management,and outcome.Circulation,1994,90:2725-2730.
- [5]Asouhidou I,Katsaridis V.Successful embolization of iatrogenic ruptured coronary artery using Onyx:a new technique.Acute Card Care,2014,11:1-4.
- [6]Dhakam S,Rahman N.A simpler approach to seal severe coronary perforation with bare metal stent.BMJ case Rep,2010.bcr0620091954.
- [7]Murat Baskurt,Kudret Keskin,et al.Coronary artery perforation treated with multiple bare metal stent implantation.Postep Kardiol Inter,2013,4:397-400.
- [8]Blaine G.Absorbable gelatin sponge in experimental surgery.Lancet,1951,258:427-429.
- [9]Kawano H,Arakawa S,Satoh O,et al.Foreign body granulomatous change from absorbable gelatin sponge and microcoil embolization after a guidewire-induced perforation in the distal coronary artery.Intern Med,2010,49:1871-1874.