导引导丝介导的冠状动脉远端穿孔

Guidewire-induced distal coronary perforations

冠状动脉穿孔是冠状动脉介入治疗过程中的严重并发症之一。随着冠状动脉介入技术的发展,越来越多的复杂病变通过介入方法来解决。越来越多的超滑、加硬导引导丝在介入治疗中被广泛使用,使由导引导丝介导的冠状动脉穿孔的发生率明显增加。本文就导引导丝介导的冠状动脉远端穿孔的分类、预防和治疗做一综述。

Coronary perforations（CP）are rare but feared complications of coronary interventions.With the improvement of technology and interventional tools,percutaneous means are more extensively used in the treatment of complex lesions and stiff hydrophilic guidewires are increasingly adopted in interventional treatment.However,the growing usage of stiff hydrophilic guidewires will beget more guidewire-induced distal CP.The aim of the article is to review the classification,prevention and treatment of guidewire-induced CP.