慢性完全闭塞病变经皮冠状动脉介入治疗并发医源性冠状动静脉瘘1例  

A case of iatrogenic coronary arteriovenous fistula developed during percutaneous coronary intervention for chronic total occlusion

作　　者：刘少帅 王守东 孟庆峰 王浩 张森 霍玉峰 姜德田 由倍安 LIU Shao-shuai;WANG Shou-dong;MENG Qing-feng;WANG Hao;ZHANG Sen;HUO Yu-feng;JIANG De-tian;YOU Bei-an(Department of Cardiology,Qilu Hospital(Qingdao),Cheeloo College of Medicine,Shandong University,Qingdao 266035,China)

机构地区：[1]山东大学齐鲁医院(青岛)心内科,山东青岛266035 [2]山东大学齐鲁医院(青岛)心外科,山东青岛266035

出　　处：《中国介入心脏病学杂志》2023年第9期706-709,共4页Chinese Journal of Interventional Cardiology

基　　金：青岛市医疗卫生重点学科建设项目(QDZDZK-2022008)。

摘　　要：冠状动脉瘘(CAF)是冠状动脉与心脏腔室或大血管之间的异常连接,而医源性CAF是一种非常罕见的经皮冠状动脉介入治疗(PCI)并发症。本病例报道1例在慢性完全闭塞(CTO)病变PCI术中,由于CTO导丝意外穿透左前降支,导致医源性左前降支至心大静脉冠状动静脉瘘形成并通过文献系统回顾PCI相关的CAF的处理。Coronary artery fistula(CAF)is an abnormal connection between the coronary artery and the cardiac chamber or large blood vessel.Iatrogenic coronary artery fistula is a very rare complication of percutaneous coronary intervention(PCI).We report a case of iatrogenic left anterior descending branch(LAD)to great cardiac vein coronary arteriovenous fistula resulting from unexpected penetration of chronic total occlusion(CTO)guidewire through LAD during CTO intervention,and reviews the management of PCI-related CAF through the literature system.

关 键 词：冠状动静脉瘘 经皮冠状动脉介入治疗 慢性完全闭塞 

分 类 号：R54[医药卫生—心血管疾病]