首页|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

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

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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.
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.

intravascular lithotripsylong calcificationdeep calcificationshockwave balloonchronic total occlusion

李昕昱、吕赫、仁增多吉、覃智禄、付强

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辽宁省人民医院心内科(沈阳,110016)

血管内碎石术 长钙化 深层钙化 冲击波球囊 慢性完全闭塞

辽宁省科学技术计划项目沈阳市科技计划项目

2020-MS-04922-321-33-49

2024

临床心血管病杂志
华中科技大学心血管病研究所 华中科技大学协和医院

临床心血管病杂志

CSTPCD
影响因子:0.653
ISSN:1001-1439
年,卷(期):2024.40(9)