使用有盖支架的 V 型支架技术治疗骨盆周穿孔：好主意还是坏主意？

Q4 Medicine

Journal of Cardiology Cases Pub Date : 2024-03-01 DOI:10.1016/j.jccase.2023.11.003

Tom Denimal MD , Flavien Vincent MD, PhD , Francis Juthier MD, PhD , Thibault Pamart MD , Mouhamed D. Moussa MD, PhD , Guillaume Schurtz MD , Francois Pontana MD, PhD , Eric Van Belle MD, PhD , Cédric Delhaye MD

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引用次数: 0

摘要

我们报告了一例重做 Ross 手术的病例，该手术并发了左侧圆周动脉闭塞，需要紧急经皮冠状动脉介入治疗。后者因冠状动脉穿孔而并发，采用 V 型支架技术治疗了两个带盖支架。学习目标：左冠状动脉穿孔是一种罕见且可能致命的并发症，处理起来具有挑战性。使用两个带盖支架的 V 型支架技术可作为一种挽救生命的手术，但与高血栓风险相关。

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V stenting technique with covered stents for the management of ostial circumflex perforation: Good or bad idea?

We report the case of a redo Ross surgery complicated by an ostial left circumflex occlusion requiring emergent percutaneous coronary intervention. The latter was complicated by coronary perforation treated by two covered stents with V-stenting technique. After immediate success, the clinical course was marked by acute stent thrombosis requiring emergent coronary bypass.

Learning objectives

Ostial left circumflex perforation is a rare and potentially fatal complication that is challenging to manage. V stenting technique with two covered stents could be used as a life-saving procedure, but is associated with a high thrombotic risk.

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