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題名 | Percutaneous Transluminal Angioplasty of the Right Coronary Artery Having an Anomalous Origin:Two Cases Report=起源異常右冠狀動脈之氣球導管整形術之應用:二例報告 |
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作 者 | 葉漢根; 吳炯仁; 洪志凌; 傅懋洋; 洪瑞松; | 書刊名 | 長庚醫學 |
卷期 | 20:4 1997.12[民86.12] |
頁次 | 頁304-308 |
分類號 | 416.262 |
關鍵詞 | 冠狀動脈整形術; 冠臟動脈開端異常; 導引導管; Coronary angioplasty; Anomalous origin of coronary artery; Guiding catheter; |
語文 | 英文(English) |
中文摘要 | 先天性右冠狀動脈起源異常非常罕見,發生率約為0.07-0.28﹪。對起源異常之 右冠狀動脈進行氣球導管血管內整形術比一般起源正常之右冠狀動脈困難,因為它起源以及 走向異常,因此齒合(engagement)及操縱不易,而正確之導引導管(guiding catheter)之 選擇,為成功之主要關鍵。本文報告二例此種病例,我們經驗認為選擇左側,AmplatzⅡ導 引導管應用於起源異常之右冠狀動脈氣球整形術為良好方法。 |
英文摘要 | Percutaneous transluminal coronary angioplasty was performed on 2 patients, each having an anomalous origin of the right coronary artery with anterior-superior orientation. Each patient had experienced post-infarction angina after an inferior wall myocardial infarction without antecedent thrombolytic therapy. The procedures were successfully performed with appropriate selection and manipulation of the guiding catheter. Our findings indicate that the Amplatz left catheter is the guiding catheter of choice in catheterizing a right coronary artery of anomalous origin with anterior-superior orientation. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。