冠状动脉介入损伤和急性心包填塞35张课件

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,冠状动脉介入损伤与急性心包填塞,Jun Dai,M.D.Coronary disease center,Fuwai Heart Hospita,CAMS PUMC,China,内容,冠脉血管损伤概念,冠脉穿孔分类和处理原则,包填塞病理生理,心包填塞的临床表现,心包填塞正确处理,总结,冠状动脉介入损伤及后果,冠状动脉夹层:内膜与中膜、中膜与外膜分,离:血管壁血栓形成和管腔的闭塞,冠状动脉穿孔:亚急性心包积血或心包填塞,尤其充分抗血小板抗凝治疗的情况下,冠状动脉破裂:急性心包积血处理不及时急,性心包填塞,Excluding case of Kawasaki d traumatic,InJure,Predictors,Patient-related:female gender/older age,Vessel-related:tortuosity angulation,calcification CTO,Procedure-related:High balloon-stent ratio,High inflation pressure EXtremely distal,location of the guidewire,Device-related:Stiff wire/Hydrophilic-coated,wire/cutting balloon/atheroablative,devices/vus,Classification of coronary,perforation proposed by Ellis et al 1994,Type I:extraluminal,左,crater without,extravasation,Type,dial,or myocardial blush,II,without contrast jet,extravasation,Type I:,extravasation,through frank(1mm),perforation,