继发性冠状动脉夹层的识别与防治

Diagnosis and Treatment of Secondary Coronary Artery Dissection

继发性冠状动脉夹层是经皮冠状动脉介入术的重要并发症,可导致急性冠状动脉闭塞。它的发生与冠状动脉解剖特点和介入操作密切相关。美国国立心肺血液病研究所将其分为6型,用于评价预后,指导治疗。对于严重继发性冠状动脉夹层,应选择常规内支架置入治疗,内支架置入不成功,行心外科搭桥治疗。

The secondary coronary artery dissection is the major complication of percutaneous coronary intervention which could potentially result in abrupt coronary closure.Coronary artery anatomical features and intervention operation caused coronary artery dissection.NHLBI put coronary artery dissection into six classes,used to evaluate the prognosis and to guide trestment.For serious coronary artery dissection,stent placement is preferred.If unsuccessful,you can choose coronary artery bypass grafting.