单支剩余血管患者的经皮冠状动脉介入治疗  

Percutaneous Coronary Intervention in Patients With a Single Remaining Vessel

作　　者：Tavano D. Corbett S. Airoldi F. A. Colombo 黄欣 

机构地区：[1]San Raffaele Scientific Institute, Milan, Italy Dr.

出　　处：《世界核心医学期刊文摘（心脏病学分册）》2007年第7期19-19,共1页

摘　　要：虽然对患者最后剩余的冠状动脉血管行经皮冠状动脉介入治疗的后果尚没有已出版的相关数据，但是该项操作被认为具有很高的风险。本文中报道了作者1998--2005年间对16例单支剩余血管患者进行介入治疗的经验。所有患者均曾行冠状动脉搭桥术，有心肌梗死病史，左室收缩功能受损，并且有不稳定心绞痛或最小限度劳力即可引起心绞痛症状。有1例于术后10h发生围手术期死亡，另1例患者在术后4个月死亡。在6个月的随访期内，2例患者接受了靶病变血运重建。Percutaneous coronary intervention in a patient＇s last re maining coronary conduit is perceived to be high risk, although there are no published data on outcomes in this lesion cohort. We report our experience with 16 patients who underwent intervention in their sole remaining vessel be- tween 1998 and 2005. All patients had previously under- gone coronary artery bypass grafting, had a history of my- ocardial infarction, had impaired left ventricular systolic function, and were symptomatic with unstable angina or minimal effort angina. There was 1 periprocedural death 10 hours after the procedure, and another patient died 4 months after the procedure. At 6-month follow-up, 2 patients had undergone target lesion revascularization. There was a significant and sustained improvement in symptom status, with 75% of patients being asymptomatic or in Canadian Cardiovascular Society class I after 6 months.

关 键 词：经皮冠状动脉介入治疗 冠状动脉血管 左室收缩功能受损 冠状动脉搭桥术 不稳定心绞痛 心绞痛症状 心肌梗死 围手术期 

分 类 号：R654.2[医药卫生—外科学]