Jatrogena disekcija glavnog stabla leve koronarne arterije tokom elektivne dijagnostičke procedure

  • Nemanja Djenić Clinic for Emergency and Internal Medicine, Military Medical Academy, Belgrade, Serbia
  • Boris Džudović Klinika za Urgentnu internu medicinu, Vojnomedicinska akademija, Beograd, Srbija
  • Radoslav Romanović Clinic for Emergency and Internal Medicine, Military Medical Academy, Belgrade, Serbia
  • Nenad Ratković Clinic for Emergency and Internal Medicine, Military Medical Academy, Belgrade, Serbia
  • Zoran Jović Clinic for Cardiology, Military Medical Academy, Belgrade, Serbia
  • Bosko Djukić Clinic for Emergency and Internal Medicine, Military Medical Academy, Belgrade, Serbia
  • Marijan Spasić Clinic for Cardiology, Military Medical Academy, Belgrade, Serbia
  • Siniša Stojković Clinic for Cardiology, Clinical Center of Serbia, Belgrade, Serbia
  • Slobodan Obradović Clinic for Emergency and Internal Medicine, Military Medical Academy, Belgrade, Serbia
DOI: https://doi.org/10.2298/7289
Ključne reči: iatrogenic disease||, ||jatrogena bolest, coronary angiography||, ||angiografija koronarnih arterija, percutaneous coronary intervention||, ||perkutana koronarna intervencija, treatment outcome||, ||lečenje, ishod,

Sažetak


Uvod. Disekcija glavnog stabla leve koronarne arterije je retka i potencijalno po život opasna komplikacija tokom koronarne angiografije i angioplastike i zahteva hitnu revaskularizaciju. Prikaz bolesnika. Tokom perioda između 2010. i novembra 2014. u našoj ustanovi sprovedene su ukupno 8 884 koronarne procedure, od kojih su 2 333 bile perkutane koronarne intervencije (PKI). U tom periodu imali smo ukupno 3 (0,03%) disekcije glavnog stabla leve koronarne arterije i sve su uspešno rešene putem PKI. U radu su prikazana tri bolesnika sa jatrogenom disekcijom glavnog stabla leve koronarne arterije, nastale tokom elektivnih dijagnostičkih procedura, koje su uspešno rešene pomoću PKI, korišćenjem različitih tehnika. Zaključak. PKI može biti brz pristup kojim se spasava život pri lečenju jatrogenih disekcija glavnog stabla leve koronarne arterije.

 

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Objavljeno
2017/01/24
Broj časopisa
Vol. 73 Br. 3 (2016)
Rubrika
Prikaz bolesnika