{"title":"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。","authors":"S L Woodfield, A Lopez, R R Heuser","doi":"10.1002/(sici)1097-0304(199806)44:2<220::aid-ccd20>3.0.co;2-p","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":9664,"journal":{"name":"Catheterization and cardiovascular diagnosis","volume":"44 2","pages":"220-3"},"PeriodicalIF":0.0000,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"45","resultStr":"{\"title\":\"Fracture of coronary guidewire during rotational atherectomy with coronary perforation and tamponade.\",\"authors\":\"S L Woodfield, A Lopez, R R Heuser\",\"doi\":\"10.1002/(sici)1097-0304(199806)44:2<220::aid-ccd20>3.0.co;2-p\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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.</p>\",\"PeriodicalId\":9664,\"journal\":{\"name\":\"Catheterization and cardiovascular diagnosis\",\"volume\":\"44 2\",\"pages\":\"220-3\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1998-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"45\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Catheterization and cardiovascular diagnosis\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1002/(sici)1097-0304(199806)44:2<220::aid-ccd20>3.0.co;2-p\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Catheterization and cardiovascular diagnosis","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/(sici)1097-0304(199806)44:2<220::aid-ccd20>3.0.co;2-p","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Fracture of coronary guidewire during rotational atherectomy with coronary perforation and tamponade.
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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