经皮冠状动脉腔内冲击波球囊导管成形术治疗支架膨胀不全2例Coronary lithotripsy for treatment of calcified lesions with under expanded stents:two cases report
张明多,高秉钰,田晋帆,张闽,葛长江,宋现涛
摘要(Abstract):
钙化病变增加了冠心病介入治疗的难度,增加了围术期及长期并发症风险,钙化病变的预处理非常重要,经皮冠状动脉腔内冲击波球囊导管成形术(IVL)在钙化病变中使用越来越多,众多临床试验证明了其对钙化病变的有效性和安全性。支架膨胀不全是支架内血栓形成和支架内再狭窄的重要危险因素,增加并发症发生率,目前对于钙化病变导致的支架膨胀不全的处理并无有效应对策略,也无明确的相关共识或指南。关于IVL治疗支架膨胀不全报道较少,且多为个案报道、小样本研究。本文报道了2例患者,支架置入后发现膨胀不全,采用IVL进行处理,取得较好效果。
关键词(KeyWords): 钙化;冲击波球囊;支架膨胀不全
基金项目(Foundation): 心血管智慧诊疗北京市工程研究中心创新能力建设项目
作者(Author): 张明多,高秉钰,田晋帆,张闽,葛长江,宋现涛
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