成功逆行经皮冠状动脉介入治疗右心室患者的慢性全闭塞

IF 1.2 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

International heart journal Pub Date : 2024-07-13 DOI:10.1536/ihj.23-622

Xin Zhong, Liang Xu, Junhua Sun, Hongzhi Dui, Yong Dong, Chenhai Xia, Yujie Zhao, Ming Yuan, Tao Hu

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引用次数: 0

摘要

右心室突出是一种非常罕见的先天性错位，大多数心脏病专家对这种情况的血管造影并不熟悉。在此，我们首次报告了一例接受逆行经皮冠状动脉介入治疗（PCI）的伴有慢性全闭塞（CTO）病变的右心室缺血病例。最初的血管造影在病变解读和设备操作方面遇到了很大的困难。直到我们采用双倒置技术，这些难题才得到明显改善。最终，我们采用攻角较差的吻合导丝技术完成了手术。通过适当的技术，逆行 CTO PCI 治疗右心室患者是可行的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Successful Retrograde Percutaneous Coronary Intervention for Chronic Total Occlusion in a Patient with Dextrocardia

Dextrocardia is a very rare congenital malposition, and most cardiologists are not familiar with the radiographic angiograms of this condition. Here, we first report a case of dextrocardia with a chronic total occlusion (CTO) lesion undergoing retrograde percutaneous coronary intervention (PCI). Significant difficulties in lesion interpretation and device manipulation were encountered with the original angiograms. These challenges were not significantly improved until we adopted the double-inversion technique. The procedure was finally accomplished by using the kissing wire technique with a poor angle of attack. Retrograde CTO PCI for patients with dextrocardia is feasible with adequate techniques.

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来源期刊

International heart journal 医学-心血管系统

CiteScore

2.50

自引率

6.70%

发文量

148

审稿时长

6-12 weeks

期刊介绍： Authors of research articles should disclose at the time of submission any financial arrangement they may have with a company whose product figures prominently in the submitted manuscript or with a company making a competing product. Such information will be held in confidence while the paper is under review and will not influence the editorial decision, but if the article is accepted for publication, the editors will usually discuss with the authors the manner in which such information is to be communicated to the reader.