Complications and management of coronary artery injury during emergency percutaneous coronary intervention
10.3969/j.issn.1008-9691.2024.01.027
- VernacularTitle:急诊PCI术中冠状动脉损伤的并发症及管理
- Author:
Xiuting XU
1
;
Pan ZHU
;
Yingying ZOU
;
Guoliang XU
Author Information
1. 山西省心血管病医院心内科,山西太原 030000
- Keywords:
Percutaneous coronary intervention;
Coronary artery perforation;
No-reflow;
Coronary artery dissection;
Stent thrombosis
- From:
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
2024;31(1):121-125
- CountryChina
- Language:Chinese
-
Abstract:
Acute myocardial infarction(AMI)is a serious disease that endangers human life and health,timely opening of the infarct vessel is the main means of successful treatment.Emergency percutaneous coronary intervention(PCI)is the most effective treatment at present,which can quickly restore myocardial blood supply and save patients'lives.With the maturity of PCI treatment,the survival rate of patients with AMI has improved significantly.However,in recent years,emergency PCI operators have encountered a significant challenge:rare and fatal complications associated with coronary artery injury during emergency PCI are not promptly recognized and treated,leading to an increase in perioperative mortality.At present,there is no unified plan for the management of critical complications during PCI at home and abroad.Therefore,this paper mainly reviews the management measures of complications related to coronary artery injury during surgery,such as coronary artery perforation,non-reflow,coronary artery dissection,and stent thrombosis,and summarizes the progress of relevant treatment measures at home and abroad to help surgeons deal with emergencies timely and correctly and save more patient lives.
