GuideLiner®延长导管在复杂经皮冠状动脉介入治疗中的临床经验

doi:10.3969/j.issn.1000-8535.2018.01.008

广州医药 ›› 2018, Vol. 49 ›› Issue (1): 28-32.DOI: 10.3969/j.issn.1000-8535.2018.01.008

GuideLiner^®延长导管在复杂经皮冠状动脉介入治疗中的临床经验

黄建楷, 李维杰, 黎镇赐, 潘宜智, 刘震

广州市第一人民医院心血管内科(广州 510180)

收稿日期:2017-10-20 出版日期:2018-01-20 发布日期:2021-12-01

Clinical efficacy and safety of GuideLiner^® guide extension catheter application during complex coronary percutaneous coronary intervention procedure

HUANG Jiankai, LI Weijie, LI Zhenci, PAN Yizhi, LIU Zhen

Department of Cardiology, Guangzhou First People's Hospital, Guangzhou 510180, China

Received:2017-10-20 Online:2018-01-20 Published:2021-12-01

摘要/Abstract

摘要： 目的总结GuideLiner^®延长导管在复杂经皮冠状动脉介入治疗(PCI)中的初步经验,探讨其有效性及安全性。方法选择2015年3月—2017年3月因冠心病于广州市第一人民医院行PCI的患者13例,因复杂病变需要更强支撑力而使用GuideLiner^®延长导管完成手术,总结手术成功率、并发症以及6个月随访主要不良心脏事件的发生情况。结果 13例患者在GuideLiner^®延长导管应用下均成功完成手术。使用延长导管的目的2例手术为辅助球囊通过,7例为辅助支架通过,4例为辅助支架及球囊通过。全部患者均未发生术中及住院期间死亡、急性心肌梗死,未发生急性支架内血栓形成、目标冠脉夹层或穿孔、心包填塞等并发症,6 个月随访均无不良心脏事件发生。结论应用延长导管可提高支撑力,有效辅助球囊和/或支架到达冠状动脉病变部位,提高手术成功率,安全性较高。

关键词: GuideLiner^®, 延长导管, 经皮冠状动脉介入治疗

Abstract: Objective To evaluate the clinical efficacy and safety of GuideLiner^® guide extension catheter during complex coronary percutaneous coronary intervention(PCI) procedures. Methods Thirteen patients with coronary heart diseases performed PCI procedures were included in this study from March 2015 to March 2017. GuideLiner^® guide extension catheters were used in these complex cases. The PCI success rate,incidence of complications and 6-month follow up data were observed. Results Benefited from the stronger support produced by GuideLiner^®, PCI success rate was 100%. The guide extension catheters were used for the delivery of balloons in 2 cases, while 7 cases for stents, and 4 cases for both balloons and stents. No death were observed during the procedure or in hospital, and there were no dissection or acute myocardial infarction. During 6 months of follow-up,there was no major adverse cardiac events (MACE). Conclusion GuideLiner^® guide extension catheter may improve procedure success rate by ensuring the delivery of balloons and stents in complex PCI.

Key words: GuideLiner^®, Guide extension catheter, Percutaneous coronary intervention

黄建楷, 李维杰, 黎镇赐, 潘宜智, 刘震. GuideLiner^®延长导管在复杂经皮冠状动脉介入治疗中的临床经验[J]. 广州医药, 2018, 49(1): 28-32.

HUANG Jiankai, LI Weijie, LI Zhenci, PAN Yizhi, LIU Zhen. Clinical efficacy and safety of GuideLiner^® guide extension catheter application during complex coronary percutaneous coronary intervention procedure[J]. Guangzhou Medical Journal, 2018, 49(1): 28-32.

参考文献

[1] NIKOLSKY E, GRUBERG L, PECHERSKY S, et al. Stent deployment failure: Reasons, implications, and short-and long-term outcomes[J]. Catheter Cardiovasc Interv, 2003, 59(3): 324-328.
[2] MAMAS M A, FATH-ORDOUBADI F, FRASER D G. Distal stent delivery with Guideliner catheter: first in man experience[J]. Catheter Cardiovasc Interv, 2010, 76(1): 102-111.
[3] COLA C, MIRANDA F, VAQUERIZO B, et al. The Guideliner^® catheter for stent delivery in difficult cases: tips and tricks[J]. J Interv Cardiol, 2011, 24(5): 450-461.
[4] MATSUMOTO M, TAMANAHA Y, TSURUMAKI Y, et al. GuideLiner catheter use for percutaneous intervention involving anomalous origin of a single coronary trunk arising from the ascending aorta[J]. Case Rep cardiol, 2016(2016):1-5.
[5] GuideLiner^® Catheter Instructions For Use[R/OL]. [2017-10-20]. http://vasc.com/
[6] ALKHALIL M, SMYTH A, WALSH S J, et al. Did the use of the Guideliner V2^TM guide catheter extension increase complications? A review of the incidence of complications related to the use of the V2 catheter, the influence of right brachiocephalic arterial anatomy and the redesign of the V3 TM Guideliner and clinical outcomes[J]. Open heart, 2016, 3(1): e000331.
[7] WAGGONER T, DESAI H, SANGHVI K. A unique complication of the GuideZilla guide extension support catheter and the risk of stent stripping in interventional & endovascular interventions[J]. Indian Heart J, 2015, 67(4): 381-384.
[8] SENGUTTUVAN N B, SHARMA S K, KINI A. Percutaneous intervention of chronic total occlusion of anomalous right coronary artery originating from left sinus-Use of mother and child technique using guideliner[J]. Indian Heart J, 2015, 67(Suppl 3): S41.
[9] FAROOQ V, SERRUYS P W, MUSTAFA A H, et al. Forward and back aspiration during ST-elevation myocardial infarction: a feasibility study[J]. EuroIntervention, 2016, 11(14): e1639-1648.
[10] GEDELA M, LI S, STYS T, et al. A novel technique of stenting of the renal artery in-stent restenosis with guideliner^® through radial approach[J]. Case Rep Vasc Med, 2017, (2017)1-3.
[11] CHIANG C H, LIU S C. Successful retrieval of an entrapped rotablator burr by using a guideliner guiding catheter and a snare[J]. Acta Cardiologica Sinica, 2017, 33(1): 96.

GuideLiner^®延长导管在复杂经皮冠状动脉介入治疗中的临床经验

Clinical efficacy and safety of GuideLiner^® guide extension catheter application during complex coronary percutaneous coronary intervention procedure

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GuideLiner®延长导管在复杂经皮冠状动脉介入治疗中的临床经验

Clinical efficacy and safety of GuideLiner® guide extension catheter application during complex coronary percutaneous coronary intervention procedure

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GuideLiner^®延长导管在复杂经皮冠状动脉介入治疗中的临床经验

Clinical efficacy and safety of GuideLiner^® guide extension catheter application during complex coronary percutaneous coronary intervention procedure