导尿管旋转不受控制导致右冠状动脉夹层的病例报告:故事中的一个转折

Ala Abu Dogosh, J. Weinstein, D. Zahger, C. Cafri
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引用次数: 0

摘要

导管诱导的冠状动脉夹层是一种罕见的并发症,可能危及生命。在接受冠状动脉造影的患者中,只有不到0.1%的患者出现了这种情况[1-3]。技术原因(导管类型、导管位置、深插管)以及解剖/组织学易感性(口部疾病、血管定向、血管大小、胶原纤维类型)导致其发生[4-7]。在注射过程中,导管尖端与动脉壁之间的接触促进内膜破裂并随后渗透造影剂是这种现象的基本基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Case report of dissection of the right coronary artery due to uncontrolled rotational movement of the guiding catheter: A twist in the story
Catheter-induced coronary artery dissection is a rare complication with potentially life-threatening consequences. It has been described in less than 0.1% of patients undergoing coronary angiography [1-3]. Technical reasons (type of catheter, catheter position, deep intubation) as well an anatomical/histological predisposition (ostial disease, vessel orientation, vessel size, type of collagen fibers) contribute to its development [4-7]. Contact between the tip of the catheter and the arterial wall promoting intimal disruption and subsequent penetration of contrast during the injection is the basic substrate for this phenomenon.
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