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題名 | Direct Stenting of a Transradial Left Internal Mammary Artery Graft=經撓動脈執行左內乳動脈繞道移植血管直接支架置放術 |
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作者 | 洪尉欽; 郭必芳; 吳炯仁; 陳建仁; 方志元; | 書刊名 | 長庚醫學 |
卷期 | 26:12 2003.12[民92.12] |
頁次 | 頁925-929 |
分類號 | 415.385 |
關鍵詞 | 左內乳動脈移植血管; 經撓動脈著手; 直接支架置放術; Left internal mammary artery graft; Transradial approach; Direct stenting; |
語文 | 英文(English) |
中文摘要 | 經股動脈執行左內乳動脈移植血管介入性治療一直皮認為是技術性的一大挑戰,而且少有經撓動脈執行左內乳動脈的介入或治療報告。在此我們報告一位男性在左內乳動脈繞道移植衛管吻合處發生狹窄,我們成功地經由撓動脈使用6Fr Kimny導引導管,執行介入或治療。雖然在過程中發生左動脈急性阻塞需要主動脈氣球邦浦、暫時性心律調節器輔助及額外支架置放治療,最後依然成功執行直捶支架置放術。病人6天後出院,門診追蹤一直都沒有任何症狀。我們的結果顯示經由撓動脈執行左內乳動脈移植血管介入性治療是可行的。 |
英文摘要 | Taing the transfemoral approach when performing a left internal mammary artery (LIMA) graft intervention is generally recognized as posing significant technical challenges. However, little has been reported on alternative transradial approaches to LIMA. In this report, we prestnt oru experience in a patient who had anastomosis-site LIMA graft stenosis and was successfully treated with direct stentign. We used a 6-French Kimny guiding catheter inserted through the left radial artery, even thought the procedure was complicated by an acute occlusion of a LIMA body, requiring bail-out stenting following intra-aortic balloon pump support and temporary cardiac pacing. The patient was discharged 6 days after the procedure and remains asymptomatic during follow-up visits. Our results suggest that a transradial approach is fesstible for LIMA intervention procedures. |
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