Medicine · 2018
Use of sodium nitroprusside in retrograde percutaneous coronary intervention for chronic total occlusion: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Huang He, Zhang Yao-Jun, Fan Yong-Zhen, Wu Xi, Bourantas Christos V
Аннотация
RATIONALE: Chronic total occlusion continues to be a challenging lesion subset for percutaneous coronary intervention.
PATIENT CONCERNS: A 65-year-old male patient was admitted with symptoms of angina pectoris for 9 months.
DIAGNOSES: Coronary angiography showed a severe stenosis in the proximal left anterior descending artery and a chronic total occlusion (CTO) in the proximal right coronary artery. The complexity of the CTO was stratified using the J-CTO score and the PROGRESS CTO score.
INTERVENTIONS: Antegrade wire escalation for CTO of RCA failed. The septal collaterals to RCA were initially judged to be poor and not suitable for intervention.
OUTCOMES: However, administration of sodium nitroprusside improved collateral flow and enabled the identification of retrograde channels suitable for wire crossing and successful retrograde PCI.
LESSIONS: The study showed that faintly visible to even invisible septal collateral connections can be crossed with the septal "trial and error" surfing technique after the administration of sodium nitroprusside.
PATIENT CONCERNS: A 65-year-old male patient was admitted with symptoms of angina pectoris for 9 months.
DIAGNOSES: Coronary angiography showed a severe stenosis in the proximal left anterior descending artery and a chronic total occlusion (CTO) in the proximal right coronary artery. The complexity of the CTO was stratified using the J-CTO score and the PROGRESS CTO score.
INTERVENTIONS: Antegrade wire escalation for CTO of RCA failed. The septal collaterals to RCA were initially judged to be poor and not suitable for intervention.
OUTCOMES: However, administration of sodium nitroprusside improved collateral flow and enabled the identification of retrograde channels suitable for wire crossing and successful retrograde PCI.
LESSIONS: The study showed that faintly visible to even invisible septal collateral connections can be crossed with the septal "trial and error" surfing technique after the administration of sodium nitroprusside.