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논문번호 42
논문제목(영문) Stent Graft for a Coronary Arteriovenous Fistula in Acute Myocardial Infarction.
국내외구분 국내 SCI여부 SCI(E)
연구책임자역할 교신저자
주저자명 Kim HG
교신저자명 Jeong MH
공동저자명 Kim HG, Jeong MH, Kim W, Park JC, Lee JS, Hong YJ, Park HW, Lim JH, Park OY, Kim JH, Kim W, Ahn Y, Cho JG, Park JC, Kang JC;
게제년월일 2003-10-04
ISSN 1738-5520
Impact Factor 0.753
학술지명 Korean Circulation J
서지사항 0집 / 34권 / 6호,   페이지(610 - 614)
요약초록문
(Abstract) 입력		 The stent graft has recently been used for the treatment of coronary artery aneurysms, perforations, dissection and arteriovenous fistula. An 81-year-old male presented with chest pain of 2-day duration. A 12- lead electrocardiogram showed atrial fibrillation and ST-T changes over the precordial leads. A diagnostic left coronary angiogram (CAG) revealed critical stenosis in the proximal left anterior descending coronary artery (LAD) and prestenotic dilatation with large coronary arteriovenous fistula draining into the main pulmonary artery. After predilation, a polytetrafluoroethylene (PTFE) covered stent graft (3.0×16 mm JoStent Graft Master®, JoMed, Germany) for fistula and an additional conventional stent for just below the graft stented site of proximal LAD stenosis were implanted successfully. After stenting, no visible large fistula or remaining stenosis was demonstrated on CAG. The stent graft was deployed with a high success rate. The restenosis rate was not higher than expected for bare stents. However, as subacute occlusion may occur more frequently, long-term ticlopidine or clopidogrel treatment should be required.
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