摘要
目的了解Bridge Point技术(包括Cross Boss导管及Stingray系统)特征及应用要点,分析其在冠状动脉慢性完全闭塞病变(CTO)介入治疗中的安全性和有效性。方法回顾性分析1例60岁患者的临床资料:该患者2015年1月因心绞痛入院,行冠状动脉造影示右冠状动脉慢性完全闭塞病变,使用Bridge Point技术对右冠状动脉病变进行介入治疗。结果术者使用Cross Boss导管在血管内膜下快速通过病变,并用Stingray系统使导丝成功回到血管真腔,右冠状动脉血流复通,无发生冠状动脉穿孔等并发症。造影剂用量80 m L,手术时间1.5 h,术后次日出院。术后1个月随访,心绞痛症状已缓解。结论 Bridge Point技术有助于安全及高效地开通冠状动脉慢性完全闭塞病变。
Objectives To introduce the characteristics of Bridge Point technique（including Cross Boss catheter and Stingray system）, and analyze its safety and efficacy in coronary chronic total occlusion（CTO） intervention. Methods The clinical data of a patient aged 60 was reviewed. He was admitted for angina in January 2015. CTO was located in proximal right coronary artery（RCA） in coronary angiography and Bridge Point technique was applied in RCA intervention. Results Cross Boss catheter quickly crossed the CTO in the sub-intimal path way, then the wire reentered the true lumen with Stingray system. RCA was successfully recanalized with thrombolysis in myocardial infarction（TIMI） flow grade 3. The procedure was completed in 1.5 hour with 80 m L contrast, without coronary perforation or other complications. The patient was discharged the next day, and the symptom was relieved in one month during follow-up. Conclusions Bridge Point technique can be applied safely and efficiently in coronary CTO intervention.
出处
《岭南心血管病杂志》
2015年第2期156-158,171,共4页
South China Journal of Cardiovascular Diseases
关键词
冠状动脉疾病
慢性完全闭塞病变
介入
coronary artery disease
chronic total occlusion
intervention
