Réducteur de sinus coronaire : aspects techniques, prévention et gestion des complications

Matthieu Périer , Hachem-Ali Haidar , David Sulman , Florent Huang , Hakim Benamer
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Abstract

Coronary sinus reducer implantation is a percutaneous technique creating a narrowing in the coronary sinus through the implantation of an hourglass-shaped endoprosthesis. It is proposed to reduce symptoms in patients suffering from refractory angina pectoris. This innovative treatment is experiencing a major craze among interventional cardiologists. It is associated with very high procedural success rates. Complications are rare and include coronary sinus dissection or perforation and migration of the device.

This review exposes the device implantation technique, the potential anatomical difficulties, the tips and tricks to overcome challenging situations. It also focuses on the prevention and management of potential complications.

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[冠状窦减压器:技术方面、潜在并发症的预防和处理]。
冠状动脉窦缩窄器植入术是一种经皮技术,通过植入沙漏形的内假体,使冠状动脉窦变窄。其目的是减轻难治性心绞痛患者的症状。这种创新疗法在介入心脏病专家中掀起了一股热潮。它的手术成功率非常高。并发症非常罕见,包括冠状动脉窦夹层或穿孔以及装置移位。这篇综述介绍了装置植入技术、潜在的解剖学困难、克服挑战性情况的技巧和窍门。它还重点介绍了潜在并发症的预防和处理。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
68
审稿时长
6-12 weeks
期刊介绍: Organe scientifique de référence fondé en 1951, les Annales de cardiologie et d''angéiologie abordent tous les domaines qui intéressent quotidiennement les cardiologues et les angéiologues praticiens : neurologie et radiologie vasculaires, hémostase, diabétologie, médecine interne, épidémiologie et prévention. Les Annales de cardiologie et d''angéiologie sont indexées aux grandes bases de données et publient rapidement, et en conformité avec les normes internationales de publication scientifique, des articles en français sur la pathologie cardiaque.
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