摘要
近年来随着经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)技术的推广和适应证选择的拓宽,PCI已成为冠心病治疗的一种有效手段。并发症亦随之增多,冠状动脉穿孔是PCI的并发症之一,及时发现和恰当处理具有非常重要的意义。近年的大量研究结果显示其发生率为0.15%~2.50%,其中急性心脏压塞发生率24%-42%、心肌梗死发生率4%-26%、急诊外科手术率24%~36%、输血率34%、病死率10%.
出处
《中国医师进修杂志(内科版)》
2008年第9期68-70,共3页
Chinese Journal of Postgraduates of Medicine
参考文献11
-
1Gruberg L,Pinnow E,Flood R,et al. Incidence,management and outcome of coronary artery perforation during percutaneous coronary intervention. Am J Cardiol, 2000,86(6) : 680-682.
-
2Fejka M,Dixon SR,Safian RD,et al. Diagnosis,management and clinical outcome of cardiac tamponade complicating percutaneous coronary intervention. Am J Cardiol, 2002,90( 11 ) : 1183-1186.
-
3Gunning MG,Williams IL,Jewitt DE,et al. Coronary artery perforation during percutaneous intervention:incidence and outcome. Heart, 2006,88 ( 5 ) : 495 -498.
-
4张华,贾国良.心包填塞:冠心病介入治疗的罕见并发症[J].国外医学(心血管疾病分册),2001,28(5):271-272. 被引量:4
-
5Holt BD, Dalton N, Bhargava V, et al. Pericardial influences on right and left ventricular filling dynamics. Circ Res,1991,68 (1): 197-208.
-
6Fowler NO, Gabel M, Buncher CR. Cardiac tamponade: a comparison of right versus left heart compassion. J Am Coll Cardiol, 1988, 12(1): 187-193.
-
7van Steijn JH,Sleijfer DT,van der Graaf WT,et al. How to diagnose cardiac tamponade. Neth J Med, 2002,60(8) : 334-338.
-
8杜大勇,李运田,王宏宇.心脏介入治疗术相关急性心脏压塞原因分析、诊断和处理[J].中国民康医学,2005,17(11):696-699. 被引量:1
-
9Tsang TS,Freeman WK,Barnes ME,et al. Rescue echocardiographically guided pericardiocentesis for cardiac perforation complicating catheter-based procedures. The Mayo Clinic experience. J Am Coll Cardiol, 1998,32(5): 1345-1350.
-
10Aslam MS,Messersmith RN,Gilbert J,et al. Successful management of coronary artery perforation with helical platinum microcoil embolization. Catheter Cardiovasc Interv, 2000,51 (3) : 320-322.
二级参考文献26
-
1Forauer AR, Dasika NL, Gemmete JJ, et al .Pericardial tamponade complicating central venous intervention. J Vasc Interv Radiol, 2003,14:255-259.
-
2Nowlen TT , Rosenthal GL,et al .Pericardial effusion and tamponade in infants with central catheters .Pediatrics , 2002,110(1pt1):137-142.
-
3Hindricks G , Kottkamp H .Complications and risk of high frequency catheter ablation of tachycardiac arrhythmias. Z kaidiol , 2000, 89:186-193.
-
4Maric I ,Bobinac D ,Ostojic L, et al .Tributaries of the human and canine coronary sinus . Acta Anat ,1996,156-161.
-
5Chiang CE , Chen SA, Yang CR , et al .Major coronary sinus abnormalities : identification of occurrence and significance in radiofrequency ablation of supraventicular tachycardia. Am Heart J ,1994,127:1 279.
-
6Shinbane JS ,Lesh MD, Stevenson WG,et al .Antomic and electrophysiologic relation between the coronary sinus and mitral annulus : implication for ablation of left-sided accessory pathways. Am Heart J ,1998,135:93.
-
7Fejka M, Dixon SR , Safian RD ,et al. Diagnosis , management , and clinical outcome of cardiac tamponade complicating percutaneous coronary intervention. Am J Cardiol ,2002 , 90:1183-1186.
-
8Gunning MG ,Williams IL, Jewitt DE, et al .Coronary artery perforation during percutaneous intervention :incidence and outcome. Heart ,2002,88:495-498.
-
9Gruberg L, Pinnow E, Flood R,et al .Incidence management , and clinical outcome of coronary artery perforation during percutaneous coronary intervention .Am J Cardiol , 2000,86:680-682.
-
10Sivakumaran S ,Irwin ME ,Gulamhusein SS,et al .Postpace implant pericarditis :incidence and outcome with active-fixation leads . PACE, 2002, 25: 833 -837.
共引文献3
-
1汤雁玲,王毅,吴学勤,郭晓岚.1例冠心病介入治疗中并发急性心包填塞的抢救护理[J].现代护理,2005,11(17):1463-1464.
-
2杜大勇,李运田,王宏宇.心脏介入治疗术相关急性心脏压塞原因分析、诊断和处理[J].中国民康医学,2005,17(11):696-699. 被引量:1
-
3王平.冠脉造影及支架术并发心脏压塞的诊治[J].首都医药,2007,14(05X):32-33. 被引量:3
同被引文献9
-
1KRABATSCH T, BECHER D, SCHWEIGER M, et al. Severe left atrium compression after percutaneous coronary intervention with perforation of a circumflex branch of the left coronary artery[J] Interact Cardio- vase Thorac Surg, 2010, 11: 811--813.
-
2YEO K K, ROGERSJ H, LAIRDJ R. Use of stent grafts and coils in vessel rupture and perforation[J]. J Interv Cardiol, 2008, 21: 86--89.
-
3STORGER H, RUEF J. Closure of guide wire-in- duced coronary artery perforation with a two-compon- cent fibrin glue[J]. Catheter Cardiovasc Interv, 2007, 70: 237--240.
-
4PERSHAD A, YARKONI A, BIGLARI D. Manage- ment of distal coronary perforations[J]. J Invasive Aardiol, 2008, 20:E187--E191.
-
5LANSKY A J, YANG Y, KHAN Y, et aI. Treat- ment of coronary artery perforations complicating per- cutaneous coronary intervention with a po[ytetraflu- oroethylence-covered stent graft [J]. Am J Cardiol, 2006, 98: 370--374.
-
6EILLIS S C, AJLUNI S, ARNOLD A Z, et al. In creased coronary perforation in the new device era. In cidence, classification, management, and outcom[J]. Circulation, 1994, 90: 2725--2730.
-
7李淑梅,杨闯,赵雷,陶玉国,冯星.自制带膜支架在急性冠脉穿孔治疗中的应用[J].中国介入心脏病学杂志,2010,18(6):354-355. 被引量:7
-
8方子美.经皮冠状动脉介入治疗中冠状动脉穿孔的发生及防治[J].内科急危重症杂志,2011,17(1):41-43. 被引量:1
-
9高力明,秦永文.多枚冠状动脉支架重叠成功封堵冠状动脉穿孔1例报告[J].第二军医大学学报,2011,32(12):1387-1388. 被引量:3
二级引证文献4
-
1李智,孟照辉.PCI并发心脏压塞的临床研究现状[J].临床医学,2017,37(4):121-124.
-
2王小明,刘毅,李斌,杨学胜,陶凌.冠状动脉穿孔的研究进展及治疗方法探讨[J].临床心血管病杂志,2018,34(10):946-951. 被引量:9
-
3宋蕾,薛艳.吸收性明胶海绵栓塞冠状动脉穿孔的术中护理配合[J].医学影像学杂志,2018,28(12):2109-2111. 被引量:1
-
4于建波,任长伟,来永强.经皮冠状动脉介入术围术期心脏压塞的外科处理[J].中华实用诊断与治疗杂志,2019,33(7):672-674. 被引量:3
-
1唐丽春,景颖颖.心脏介入术中并发急性心脏压塞的抢救与护理[J].中国医药指南,2013,11(29):6-7. 被引量:8
-
2董均树,包卫国,刘艳.急性心脏压塞25例临床分析[J].白求恩医科大学学报,1993,19(4):392-393.
-
3沈东,黄党生,罗北捷,张丽伟,夏云峰,张许文,张春红,白静.冠状动脉介入治疗并发冠状动脉穿孔5例报告[J].解放军医学杂志,2004,29(5):423-423.
-
4胡清娜,郑文玲,谢金莲,曾奕芝,刘丽.射频消融术致心脏压塞1例的护理体会[J].齐齐哈尔医学院学报,2005,26(11):1366-1367. 被引量:1
-
5马文珠,吴晔良,潘云香.急性心脏压塞20例临床分析[J].中国急救医学,1990,10(4). 被引量:6
-
6田攀,张杨,张刚,刘红涛,曹雪滨.应用带膜支架抢救冠状动脉穿孔成功1例[J].第三军医大学学报,2014,36(13):1407-1407.
-
7过云峰,陈风,高长征.丝线封堵冠状动脉穿孔1例[J].临床心血管病杂志,2011,27(5):393-394. 被引量:1
-
8陈永华.多发伤合并急性心脏压塞2例救治体会[J].中国医药指南,2011,9(15):309-310.
-
9金建芬,陆骏.6例冠心病介入治疗中冠状动脉穿孔的抢救及护理配合[J].护理与康复,2006,5(4):259-260. 被引量:2
-
10杨军,肖践明,郭涛.心脏介入性治疗致急性心脏压塞4例[J].临床心血管病杂志,2005,21(4):245-245. 被引量:1