Perkutan koroner girişim komplikasyonu: koroner perforasyon
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Dosyalar
Tarih
2013
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi Tıp Fakültesi Dergisi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Koroner perforasyon, kateterizasyon laboratuvarının en korkulan ve ölümcül olabilen komplikasyonudur. Perforasyon sıklığı %0,2-0,6 olarak bildirilmiştir. Koroner perforasyonda, işlemi yapan kardiyologun kılavuzlarda bildirilen yetkinliğe sahip olması, kateter laboratuvarında covered stent bulunması hayat kurtarıcı olmaktadır. Efor testi pozitif olan, tipik anjina tanımlayan 69 yaşındaki hasta koroner anjiografi için kateter laboratuvarın alındı. Koroner anjiografide sol ön inen koroner arter (LAD) orta segmentte saptanan %80 darlığa Biomime stent nominal basınçla yerleştirildi. Optimal açılımı sağlamak için powerline balon ile postdilatasyon uygulandı. Postdilatasyon sonucu Ellis grade III perforasyon gelişti. Perforasyon bölgesine 3,0×19 mm graft stent implante edildi. Yapılan ekokardiyografi incelemelerinde perikardial mayii ve tamponat bulguları saptanmayan hasta stabil olarak taburcu edildi.
Coronary perforation is the most feared and lethal complication in the catheterization laboratories. Perforation incidence is reported to be between 0,2 - 0,6%. Sixty nine year-old patient with a typical angina pectoris and having a positive effort test was admitted to the catheter laboratory for coronary angiography. In the coronary angiography, Biomime stent was deployed with nominal pressure to the mid segment of the left anterior descending (LAD) artery which was found to have a 80% stenosis. In order to obtain optimal expansion, postdilatation was performed with a powerline balloon. After postdilatation, Ellis grade III perforation was developed. Bleeding control was achieved with implantation of a 3,0×19 mm graft stent to the perforation site. In the echocardiographic investigations, the patient did not exhibit any pericardial fluid and tamponade findings so the patient was discharged after 48 hours.
Coronary perforation is the most feared and lethal complication in the catheterization laboratories. Perforation incidence is reported to be between 0,2 - 0,6%. Sixty nine year-old patient with a typical angina pectoris and having a positive effort test was admitted to the catheter laboratory for coronary angiography. In the coronary angiography, Biomime stent was deployed with nominal pressure to the mid segment of the left anterior descending (LAD) artery which was found to have a 80% stenosis. In order to obtain optimal expansion, postdilatation was performed with a powerline balloon. After postdilatation, Ellis grade III perforation was developed. Bleeding control was achieved with implantation of a 3,0×19 mm graft stent to the perforation site. In the echocardiographic investigations, the patient did not exhibit any pericardial fluid and tamponade findings so the patient was discharged after 48 hours.
Açıklama
[Turgut Özal Tıp Merkezi Dergisi, (2013).20 (4)]
Anahtar Kelimeler
Perkutan Koroner Girişim, Koroner Perforasyon, Kaplı Stent, Percutaneous Coronary Intervention, Coronary Perforation, Covered Stent
Kaynak
Turgut Özal Tıp Merkezi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
20
Sayı
4
Künye
Yıldız, A.,Bağırtan, B.,(2013).Perkutan koroner girişim komplikasyonu: koroner perforasyon.Turgut Özal Tıp Merkezi Dergisi, 20 (4).338-340 ss.
