冠状动脉分叉病变单支架置入术的临床疗效评价  

Evaluation of clinical outcomes of simple strategy of stenting in patients with bifurcation coronary artery lesion

作　　者：张蓓蓓[1] 张钲[1] 白锋[2] 

机构地区：[1]兰州大学第一附属医院心内科,兰州730000 [2]兰州大学第二附属医院心内科

出　　处：《临床心血管病杂志》2008年第1期40-42,共3页Journal of Clinical Cardiology

摘　　要：目的：总结101例冠状动脉分叉病变单支架置入术的临床疗效。方法：回顾性分析101例冠状动脉分叉病变患者,采用仅主支置入支架,边支不置入支架的手术策略,观察手术即刻及术后6～9个月临床疗效及主要心血管事件（MACE）发生率。结果：手术后即刻成功率99.01%（100/101）,住院期间无MACE发生,术后6～9个月随访无症状者95.65%（88/92）,发生稳定型心绞痛者2.17%（2/92）,不稳定型心绞痛者2.17%（2/92）,MACE发生率1.09%（1/92）。结论：分叉病变采用仅主支置入支架,边支不置入支架的手术策略,短期观察安全有效。Objective：To evaluate the clinical outcomes of simple strategy of stenting in patients with bifurcation coronary artery lesion. Method：We analyzed the outcomes of 101 patients with bifurcation coronary artery lesion, who were treated with simple stent in the main lesion vessel and non-stent in the side branch, immediately after the interventional procedure and 6-9 months clinical follow-up. And the rate of major adverse cardiac events （MACE） were also observed. Result： Immediately success rate of PCI procedure was 99.01% （100/101）, and no MACE during hospitalization occurred. The rate of non-angina symptom during the 6-9 months follow-up was 95.65% （88/92）, Stable angina occurred with a rate of 2.17%（2/92） and unstable angina occurred with a rate of 2.17%（2/92）as well as MACE rate was 1.09% （1/92）. Conclusion： The short and mid-term clinical outcomes of simple strategy of stenting in patients with bifurcation coronary artery lesion was feasible and safe.

关 键 词：冠状动脉疾病 支架 预后 

分 类 号：R541.4[医药卫生—心血管疾病]