切割球囊在小血管弥漫病变介入治疗中的应用  

The use of cutting ballon in small vessel diffuse lesion interventions

作　　者：李江虹[1] 卢清玉[1] 张伶[1] 宋丽萍[1] 杨静文[1] 黄惠贤[1] 吴建国[1] 

机构地区：[1]北京市海淀医院心内科,100080

出　　处：《中国介入心脏病学杂志》2004年第6期343-344,共2页Chinese Journal of Interventional Cardiology

摘　　要：目的　探讨切割球囊在冠状动脉介入治疗中应用于小血管弥漫病变的有效性和安全性。方法　对 4 4例患者 4 6支病变冠状动脉 4 8处小血管弥漫病变进行切割球囊治疗。结果　全部病变均取得成功 ,平均扩张次数 (4 6± 2 4 )次 ,平均球囊充盈时间 (2 2 7 4± 10 2 3)s,平均最大扩张压力 (90 1 8± 2 2 2 9)kPa ,术后血管狭窄程度明显减轻 [(88 6± 7 9) %vs (16 8± 15 4 ) % ,P =0 0 0 1],无并发症发生。结论　切割球囊应用于冠状动脉小血管弥漫病变的介入治疗是有效的和安全的。Objective To evaluate the efficacy and safety of cutting ballon angioplasty (CBA) in small vessel diffuse lesion Methods 44 patients with 48 lesions underwent successful coronary angioplasty with cutting ballon angioplasty Results All of the lesions were treated successfully by 4 6±2 4 times dilation of cutting ballon The total duration of ballon inflation was (227 4±102 3) s The lesions were dilated at a pressure up to (901 8±222 9) kPa The severity of vascular stenosis lessened obviously [(88 6±7 9)% vs (16 8±15 4)%, P =0 001] without severe complications Conclusion Cutting ballon angioplasty (CBA) on small vessel diffuse lesion is safty and effective

关 键 词：切割球囊 血管狭窄 冠状动脉介入治疗 病变 冠状动脉 并发症 患者 术后 减轻 扩张 

分 类 号：R654[医药卫生—外科学] R541.4[医药卫生—临床医学]