血管内碎石术治疗冠状动脉重度钙化病变围术期临床效果观察  

Perioperative period effect of intravascular lithotripsy in the treatment of severe coronary artery calcium

作　　者：贺玉泉[1] 成有为 王琴 常尚 李牧蔚 刘冰 童亚良 崔逢文 能昌盛 王新宇 张瑶俊 HE Yu-quan;CHENG You-wei;WANG Qin;CHANG Shang;LI Mu-wei;LIU Bing;TONG Ya-liang;CUI Feng-wen;NENGChang-sheng;WANG Xin-yu;ZHANG Yao-jun(Department of Cardiology,China-Japan Union Hospital,Jilin University,Changchun 130033,China;Department of Cardiology,The Third People's Hospital of Xuzhou,Xuzhou Cancer Hospital,Xuzhou 221000,China;Xuzhou Medical University,Xuzhou 221004,China;Department of Cardiology,Xuzhou New Health Geriatric Hospital,Xuzhou 221010,China;Department Two of Coronary Heart Disease,Fuwaihua Central Vascular Hospital,Zhengzhou 451460,China;Department of Cardiology,Pei county Guotai hospital,Pei county 221169,China)

机构地区：[1]吉林大学中日联谊医院心血管内科,吉林长春130033 [2]徐州市第三人民医院(徐州市肿瘤医院)心血管内科,江苏徐州221000 [3]徐州医科大学,江苏徐州221004 [4]徐州新健康老年病医院心血管内科,江苏徐州221010 [5]阜外华中心血管病医院冠心病2病区,河南郑州451460 [6]沛县国泰医院心血管内科,江苏沛县221169

出　　处：《临床军医杂志》2022年第10期996-999,共4页Clinical Journal of Medical Officers

基　　金：333高层次人才培养工程(BAR2018275)

摘　　要：目的观察血管内碎石术(IVL)治疗冠状动脉重度钙化病变围术期的临床疗效。方法选取2022年7—9月于徐州市第三人民医院、吉林大学中日联谊医院、阜外华中心血管医院冠心病2病区、徐州新健康老年病医院、沛县国泰医院共5家中心接受IVL治疗的27例冠心病患者(33个靶病变)为研究对象。主要观察指标为IVL治疗即刻及经皮冠状动脉介入术(PCI)后的严重并发症、院内主要不良心血管事件(MACE)、IVL治疗成功率、手术成功率及临床成功率。结果术中28个(84.8%)靶病变进行球囊预扩张处理后接受IVL治疗,5个(15.2%)靶病变直接接受IVL治疗。最终32个靶病变成功接受IVL治疗,IVL治疗成功率为97.0%(32/33)。IVL即刻及PCI术后均未发生严重并发症,手术成功率100.0%(33/33),临床成功率100.0%(33/33),无院内MACE发生。结论IVL修饰冠状动脉重度钙化病变可行且临床疗效较好。Objective To observe the clinical efficacy of intravascular lithotripsy(IVL)in the treatment of severe coronary artery calcium during perioperative period.Methods A total of 27 patients with coronary heart disease(33 target lesions)who received IVL treatment in 5 centers of Xuzhou Third People′s Hospital,China-Japan Union Hospital,Jilin University,Department Two of Coronary Heart Disease,Fuwaihua Central Vascular Hospital,Xuzhou New Health Geriatric Hospital,Pei county Guotai Hospital from July to September 2022 were selected as the research objects.Major complications,major adverse cardiovascular events(MACE),IVL treatment success rate,surgical success rate and clinical success rate were observed immediately after IVL treatment and percutaneous coronary intervention(PCI).Results During the operation,28(84.8%)of the target lesions received IVL after balloon predilation,and 5(15.2%)of the target lesions received IVL directly.Finally,32 target lesions were successfully treated with IVL,and the success rate of IVL treatment was 97.0%(32/33).There were no serious complications immediately after IVL and PCI,the surgical success rate was 100.0%(33/33),the clinical success rate was 100.0%(33/33),and no MACE occurred in hospital.Conclusion IVL modification of severe calcified coronary artery lesions is feasible and has good clinical effect.

关 键 词：血管内碎石术 冠心病 经皮冠状动脉介入治疗 冠状动脉钙化病变 冲击波球囊 

分 类 号：R654.2[医药卫生—外科学]