胡昊,吴佳纬,施超,孔祥勇,李丹,周俊岭,陈鸿武,马礼坤

• 1:中国科学技术大学附属第一医院(安徽省立医院)心血管内科

摘要(Abstract)：

目的 探讨冠状动脉旋磨术中发生旋磨头嵌顿的处理方法。方法 回顾分析2018年1月至2020年12月中国科学技术大学附属第一医院行冠状动脉旋磨术患者362例，其中发生旋磨头嵌顿14例。分析及归纳旋磨头嵌顿的不同处理方法。结果 分析14例发生旋磨头嵌顿患者的原因和处理方法，总结取出嵌顿旋磨头的几种方法：（1）旋磨头低速或高速交替旋转并同时前送及后退取出旋磨头；（2）通过另一根导丝送入球囊至旋磨头嵌顿位置反复扩张松解局部组织，取出旋磨头；（3）采用Guidezilla延长导管套在旋磨导管上取出旋磨头。结论 旋磨头嵌顿是一种少见但非常严重的旋磨并发症。根据本中心的经验，采取规范的处理流程和操作方法可以成功取出嵌顿的旋磨头。

关键词(KeyWords)： 冠状动脉旋磨术;旋磨头嵌顿;并发症

Abstract:

Keywords:

基金项目(Foundation): 合肥市科技局借转补项目（J2019Y02）

作者(Author): 胡昊,吴佳纬,施超,孔祥勇,李丹,周俊岭,陈鸿武,马礼坤

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