行冠状动脉光学相干断层成像扫描检查中发生室颤的病例分析及护理

光学相干断层成像扫描(OpticalCoherenceTomography,OCT)是近年来发展比较快的一种最具发展前途的新型层析成像技术,该技术具有分辨率高,组织相关性良好等优点,在冠脉介入诊断中广泛应用,早期应用OCT检查所使用的是一代阻断球囊技术,阻断过程中会出现冠脉缺血、恶性心律失常等并发症^([1]),目前已使用二代成像导管技术,避免了阻断球囊由于血管阻断给患者带来的并发症及痛苦^([2])。2016年1-12月,我中心行OCT检查280余例,发生3例使用二代成像导管行冠状动脉内光学相干成像检查过程中出现室颤的并发症。

Optical coherence tomography imaging scans(OpticalCoherenceTomography, OCT) is developing fast in recent years one of the most promising new tomographic imaging technology, the technology has high resolution, good organization correlation, etc, are widely used in coronary interventional diagnosis, early application of OCT examination using a generation of blocking balloon technology, will appear in the process of blocking the coronary ischemia, malignant arrhythmia and other complications [1], has been using the second generation imaging catheters, avoiding the blocking balloon because of the complications of vascular blocking to patients and pain (2)1-December, 2016, the center line of OCT examination of more than 280 cases, occurred in 3 patients using the second generation imaging catheter coronary artery and internal optical coherence ventricular fibrillation complications appeared in the process of imaging, discuss the following 3 cases occurred ventricular fibrillation and nursing countermeasures are as follows