血管内碎石术处理冠状动脉慢性完全闭塞伴长钙化病变1例
A case of coronary chronic total occlusion with long calcification treated by intravascular lithotripsy
李昕昱 1吕赫 1仁增多吉 1覃智禄 1付强1
作者信息
- 1. 辽宁省人民医院心内科(沈阳,110016)
- 折叠
摘要
1例回旋支慢性完全闭塞病例,通过冠状动脉造影及血管内超声证实伴有长钙化及深层钙化.导丝通过闭塞段后,棘突球囊不能充分扩张.通过Pull-Back冲击波球囊多次串联定位分段处理病变,有效优化了长钙化伴深层钙化病变的预处理,使手术顺利完成,且无并发症发生.
Abstract
A case of chronic total occlusion of the left circumflex artery with extensive and deep calcification was confirmed by coronary angiography and intravascular ultrasound.None of the Lacrosse non-slip elements(NSE)were adequately dilated after the guide-wire passed through the occluded segment.However,multiple tan-dem localization of segmented lesions using Pull-Back shockwave balloon effectively optimized the pre-treatment of long and deep calcification lesions,ensuring that the surgery was completed successfully and without any complications.
关键词
血管内碎石术/长钙化/深层钙化/冲击波球囊/慢性完全闭塞Key words
intravascular lithotripsy/long calcification/deep calcification/shockwave balloon/chronic total occlusion引用本文复制引用
基金项目
辽宁省科学技术计划项目(2020-MS-049)
沈阳市科技计划项目(22-321-33-49)
出版年
2024
NETL
NSTL
万方数据