Fracture of coronary guidewire during rotational atherectomy with coronary perforation and tamponade.

S L Woodfield, A Lopez, R R Heuser
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引用次数: 45

Abstract

We present the case of a calcified right coronary artery lesion with a 90-degree exit angle. Attempts at rotational atherectomy led to wire transection and vessel wall perforation necessitating emergent pericardiocentesis and bypass surgery. We review the literature on complications of rotational atherectomy and the management of coronary perforations and retained guidewire fragments.

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旋转动脉粥样硬化切除术伴冠状动脉穿孔和填塞时冠状动脉导丝断裂。
我们提出一个钙化的右冠状动脉病变与90度出口角的情况。旋转动脉粥样硬化切除术导致金属丝横断和血管壁穿孔,需要紧急心包穿刺和搭桥手术。我们回顾了关于旋转动脉粥样硬化切除术的并发症以及冠状动脉穿孔和残留导丝碎片的处理的文献。
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