Tom 13, Nr 4 (2018)
Opis przypadku
Opublikowany online: 2018-09-12
Zakończona powodzeniem przezskórna interwencja wieńcowa z zastosowaniem techniki Szabo w przypadku zmian aortalno-ostialnych z przewlekłym całkowitym zamknięciem prawej tętnicy wieńcowej
DOI: 10.5603/FC.2018.0073
Folia Cardiologica 2018;13(4):342-346.
Streszczenie
Percutaneous coronary intervention (PCI) in aorto-ostial lesions with chronic total occlusion is one of the most challenging scenarios, because geographic miss may lead to a higher rate of immediate and late adverse events when comparing with non-ostial lesions. Here we report a case, where aorto-ostial chronic total occlusion of right coronary artery in a 39-year-old male was successfully recanalised and perfectly stented using the Szabo technique.
Słowa kluczowe: aorto-ostial lesionchronic total occlusionpercutaneous coronary interventionSzabo technique
Referencje
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- Dishmon DA, Elhaddi A, Packard K, et al. High incidence of inaccurate stent placement in the treatment of coronary aorto-ostial disease. J Invasive Cardiol. 2011; 23(8): 322–326.
- Szabo S, Abramowitz B, Vaitkus PT. New technique for aorto-ostial stent placement. Am J Cardiol. 2005; 96: 212H.
- Freeman M, Clark DJ, Andrianopoulos N, et al. Melbourne Interventional Group. Outcomes after percutaneous coronary intervention of ostial lesions in the era of drug-eluting stents. Catheter Cardiovasc Interv. 2009; 73(6): 763–768.
- Vaquerizo B, Serra A, Ormiston J, et al. Bench top evaluation and clinical experience with the Szabo technique: new questions for a complex lesion. Catheter Cardiovasc Interv. 2012; 79(3): 378–389.
- Gutiérrez-Chico JL, Villanueva-Benito I, Villanueva-Montoto L, et al. Szabo technique versus conventional angiographic placement in bifurcations 010-001 of Medina and in aorto-ostial stenting: angiographic and procedural results. EuroIntervention. 2010; 5(7): 801–808.