冠状动脉支架感染:经皮冠状动脉介入治疗后的不寻常并发症。

Souhayla Souaf Khalafi, Gustavo Andrés Valencia Páez, Angel Luis Fernández González
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引用次数: 0

摘要

冠状动脉支架感染(CSI)是经皮冠状动脉介入治疗(PCI)最罕见的并发症之一,通常需要手术治疗。达到和确认诊断仍然是该并发症最具挑战性的方面。我们描述了一例在心肌梗死的情况下多次重复进行一级血管成形术和支架植入术后感染药物洗脱支架(DES)的病例。在冠状动脉支架植入术不断发展的今天,临床医生必须考虑并预防此类潜在的致命事件。诊断过程仍然困难重重,需要结合多种临床、生物和影像学参数。尽管在某些情况下药物治疗可能是唯一可行的方法,但我们还是介绍了一例手术治疗成功的临床病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Coronary Stent Infection: An Unusual Complication After Percutaneous Coronary Intervention.

Coronary artery stent infection (CSI) is one of the rarest complications associated with the percutaneous coronary intervention (PCI), usually requiring surgical intervention. Reaching and confirming the diagnosis remains the most challenging aspect of this complication. We describe a case of drug-eluting stents (DES) infection after several repeated procedures of primary angioplasty and stent implantation in the context of myocardial infarction. In the current era of growth of coronary stent implantation, it's important for clinicians to consider and to prevent such potentially fatal events. The diagnosis process remains difficult and requires the association of multiple clinical, biological and imaging parameters. Although medical treatment may be the only possible approach in some cases, we present a clinical case where surgical treatment was successful.

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