冠状动脉内支架的临床应用  

Immediate Results of Intracoronary Stenting:Single Centre Experience

作　　者：高炜[1] 朱国英[1] 霍勇[1] 洪涛[1] 

机构地区：[1]北京医科大学第一医院心内科,100034

出　　处：《中国介入心脏病学杂志》1997年第1期1-4,共4页Chinese Journal of Interventional Cardiology

摘　　要：1992年9月至1996年9月，我院共开展冠状动脉内支架置入术138例，将186枚支架置入152支冠状动脉的167处病变。其中左主干病变占0．8％，左前降支50．8％，左回旋支18．3％，右冠状动脉为30．1％。93．7％为B或C型病变。置入的支架类型包括：Palmaz－Schatz支架，Gianturco－Roubin支架，NIR支架，Cordis支架，Wallstent，Multi－link支架，Wiktor支架及Gianturco－RoubinⅡ支架等8种。手术成功率97．8％，狭窄程度由术前的89．3％降至－5．0±8．5％，平均最小血管直径由0．33mm增至3．22mm。主要并发症率为0．72％（1例急性心肌梗塞），严重周围血管并发症1例。我们认为，在有经验的心脏中心可以安全而有效地开展冠状动脉支架术，并可酌情选用不同类型的支架，手术成功率高，并发症率低。From September 1992 to September 1996, a total of 186 stents were implanted in 138patients, 152 vessels and 167 lesions. Vessels stented included left main 0. 8%, LAD 50. 8 %,LCX 18. 3%and RCA 30. 1 %. One hundred and sixty-seven lesions treated, 6. 3% were type A, 70. 7% were type B and 23. 0% were type C, Mean stenosis was 89. 3± 9. 0% and MLD was 0. 33 ±0. 29 mm before procedure. In our series, 8 type of stents were used, included Palmaz-Schatz stent 18. 1 %, Gianturco-Roubin Ⅰ(cook) stent 17. 8%,Cordis stent 13. 5 %,NIR stent 27. 1 %,Wallstent 9. 8%,Wiktor stent 4. 2%,MultiLink stent 5. 3% and Gianturco-Roubin Ⅱ stent 4. 2%. Success rate was 97. 82% with residual stenosis - 5. 0±8. 5% and MLD 3. 22±0. 37 mm,major complication rate was 0. 72 % (acute stent thrombus with AMI in 1 patient). One patient had groin hemotoma and required blood transfusion. In conclusion,Coronary stent can be safely and successfully performed in experienced centre. It's associated with high success rate and acceptable complication rate.

关 键 词：冠状动脉支架 血管成形术 临床应用 

分 类 号：R654.2[医药卫生—外科学]