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혈관 내 초음파 후퇴 중 발생한 스텐트 변형을 성공적으로 시술한 1예

Stent Distortion Complicated by Intravascular Ultrasound Catheter Entrapment During Pullback Interrogation

  • 조현옥 (계명대학교 의과대학 동산의료원 심장내과) ;
  • 조윤경 (계명대학교 의과대학 동산의료원 심장내과) ;
  • 윤혁준 (계명대학교 의과대학 동산의료원 심장내과) ;
  • 김형섭 (계명대학교 의과대학 동산의료원 심장내과) ;
  • 남창욱 (계명대학교 의과대학 동산의료원 심장내과) ;
  • 허승호 (계명대학교 의과대학 동산의료원 심장내과) ;
  • 김권배 (계명대학교 의과대학 동산의료원 심장내과)
  • Cho, Hyun Ok (Division of Cardiology, Department of Internal Medicine, Dongsan Medical Center, Keimyung University College of Medicine) ;
  • Cho, Yun Kyeong (Division of Cardiology, Department of Internal Medicine, Dongsan Medical Center, Keimyung University College of Medicine) ;
  • Yoon, Hyuck Jun (Division of Cardiology, Department of Internal Medicine, Dongsan Medical Center, Keimyung University College of Medicine) ;
  • Kim, Hyungseop (Division of Cardiology, Department of Internal Medicine, Dongsan Medical Center, Keimyung University College of Medicine) ;
  • Nam, Chang Wook (Division of Cardiology, Department of Internal Medicine, Dongsan Medical Center, Keimyung University College of Medicine) ;
  • Hur, Seung Ho (Division of Cardiology, Department of Internal Medicine, Dongsan Medical Center, Keimyung University College of Medicine) ;
  • Kim, Kwon Bae (Division of Cardiology, Department of Internal Medicine, Dongsan Medical Center, Keimyung University College of Medicine)
  • 투고 : 2012.03.13
  • 심사 : 2012.06.08
  • 발행 : 2013.02.01

초록

관상동맥 중재술을 하는 과정에서의 혈관 내 초음파의 역할이 중요해지면서 그 이용빈도 또한 높아졌고 따라서 이의 사용에 따른 합병증도 간간이 보고되고 있다. 저자들은 스텐트를 좌전하행지에 삽입한 이후 그 부착 정도를 파악하고자 혈관 내 초음파를 시행하였고 이를 혈관으로부터 제거하는 과정에서 발생한 스텐트의 변형을 새로운 혈관 내 초음파를 통하여 확인하고 여기에 또 하나의 스텐트를 추가 삽입함으로써 좋은 결과를 얻었기에 이를 보고하는 바이다.

Entrapment of an intravascular ultrasound (IVUS) catheter during coronary intervention is rare, but can cause serious complications. Retrieval of an entrapped catheter can also lead to adverse results for implanted stents. We report a case in which the sheath tip at the guidewire exit port was entrapped and caused stent distortion during a post-stent IVUS procedure with automatic pullback.

키워드

참고문헌

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