经皮冠状动脉内切割球囊成形术的临床应用  

Clinical application of cutting balloon angioplasty

作　　者：李保[1] 安健[1] 史世平[1] 王晋萍[1] 李运乾[1] 刘卓敏[1] 王绪太[1] 王慧仙[1] 芦丽芳[1] 

机构地区：[1]山西省心血管疾病研究所,030001

出　　处：《中国介入心脏病学杂志》2001年第3期132-134,共3页Chinese Journal of Interventional Cardiology

基　　金：卫生部优秀青年科技人才基金资助 (编号 992 1)

摘　　要：目的　评价经皮冠状动脉内切割球囊成形术的临床疗效。方法　使用切割球囊导管对2 0例冠心病患者 (男 18例、女 2例 ,年龄 5 3 4± 6 3岁 )的 2 4支冠状动脉进行扩张。结果　手术成功率为 90 % (18例 ) ,病变成功率为 91 7% (2 2支 )。未出现死亡、急性Q波型心肌梗死和急性心包填塞等并发症。病变部位狭窄程度由术前的 (85 6± 7 3) %降至术后的 (2 8 5± 9 4) %。术后随访 1～ 10个月 ,有 3例复发心绞痛 ,其中 1例经血管造影证实为再狭窄。结论　切割球囊成形术是一种安全、有效的介入性治疗技术 ,其成功率高、并发症少。Objective The purpose of the study was to evaluate the immediate and long term clinical outcome of cutting balloon angioplasty Methods Coronary angioplasty was performed using a new cutting balloon incorporated with 3～4 longitudinally orientate blades The procedure was performed on 24 lesions in 20 patients (18 men, 2 women,age 53 4±6 3 years) Results The procedural success rates for cutting balloon were 90% (18 patients) and 91 7% (22 lesions) There were no major in hospital complications (deaths, Q wave AMI or emergency CABG) The stenosis were reduced from 85 6± 7 3% to 28 5±9 4% (mean±SD) During 1～10 months follow up, 3 cases had relapses of chest pain, including 1 case of restenosis proved by coronary angiography Conclusion Cutting balloon coronary angioplasty has high success rates with few major in hospital events and low restenosis rate It is an effective and safe interventional therapy

关 键 词：血管成形术 经腔 经皮冠状动脉 切割球囊成形术 

分 类 号：R654[医药卫生—外科学]