经皮冠状动脉介入术中可怕的冠状动脉穿孔

H. C. Ramesh, R. Varadaraju, M. Chandrasena, P. Sunil, A. Cherukumudi
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引用次数: 0

摘要

心包腔内冠状动脉喷涌少见。心包填塞,心肌抢救时间开始缩短。冠状动脉穿孔(CAP)在经皮冠状动脉介入治疗(PCI)病例中所占比例为0.1%至0.7%。回顾性收集2012-2019年Sri Jayadeva心血管科学研究所患者的数据。在我们的数据库中共发现2556例PCI,其中4例(0.15%)需要紧急手术干预。强调了血流动力学不稳定的3型CAP的决策。虽然有盖支架和气球被用来阻止泄漏,但如果情况没有得到控制,就无法证明心脏外科医生的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dreaded coronary artery perforations during percutaneous coronary artery interventions
Spurting coronary artery in the pericardial cavity is observed rarely. Pericardial tamponade occurs and myocardial salvaging time starts ticking. Coronary artery perforations (CAP) have been quoted in literature to range from 0.1 % to 0.7 % of percutaneous coronary artery intervention (PCI) cases. Data was collected retrospectively from the patients of Sri Jayadeva Institute of Cardiovascular Sciences and Research in 2012-2019. A total of 2556 PCI were found in our database of which emergency surgical intervention were needed in 4 patients (0.15 %). Decision making in type 3 CAP with hemodynamic instability is highlighted. Although covered stents and balloons are used to stem the leak, importance of an on call cardiac surgeon cannot be exemplified if the situation is not under control.
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