冠状动脉慢性完全闭塞病变行经皮冠状动脉介入治疗术中导丝断裂1例
杜俣,张建维,韩红亚,郭永和,赵迎新,董然,周玉杰
摘要(Abstract)：
<正>1临床资料患者男,67岁。因"反复胸痛40 d"于2016年10月18日就诊于首都医科大学附属北京安贞医院。患者自诉40 d前劳累时出现胸骨后及心前区针刺样疼痛,持续10 min后自行缓解,无放射痛、无恶心呕吐、无头晕心悸、无胸闷呼吸困难等不适。此后症状反复发作,情况同前。37 d前于外院就诊,冠状动脉造影示三支病变,其中左前降支(left anterior descending, LAD)中段慢性完全闭塞(chronic total occlusion, CTO),首先于左回旋支(left circumflex, LCX)置入一枚支架,随后尝试开通LAD CTO失败,具体过程不详。术后患者自诉症状较前稍缓解,但仍间断胸痛发作,遂转至本院。入院查体:心率56次/分,血压110/
关键词(KeyWords)： 慢性完全闭塞;经皮冠状动脉介入治疗;导丝断裂
基金项目(Foundation):
作者(Author): 杜俣,张建维,韩红亚,郭永和,赵迎新,董然,周玉杰
参考文献(References)：
- [1] Khonsari S, Livermore J, Mahrer P, et al. Fracture and dislodgment of floppy guidewire during percutaneous transluminal coronary angioplasty. Am J Cardiol, 1986,58(9):855-856.
- [2] Arce-Gonzalez JM, Schwartz L, Ganassin L, et al. Complications associated with the guide wire in percutaneous transluminal coronary angioplasty. J Am Coll Cardiol, 1987,10(1):218-221.
- [3] Karabulut A, Daglar E, Cakmak M. Entrapment of hydrophilic coated coronary guidewire tips:which form of management is best?Cardiol J, 2010,17(1):104-108.
- [4] Lefèvre T, Louvard Y, Morice MC, et al. Stenting of bifurcation lesions:a rational approach. J Interv Cardiol, 2001,14(6):573-585.
- [5]罗建方,刘媛,黄文晖,等.自制抓捕器套取冠状动脉内断裂导丝1例.中国介入心脏病学杂志, 2015, 23(10):589-590.