冠状动脉支架植入术临床应用初步报告(广州地区多中心经验)  

Initial Results of Intracoronary Stenting-Multicenter Experience in Guangzhou

作　　者：陈传荣[1] 侯玉清[2] 刘映峰[3] 杜志民[4] 陆东风[5] 郭南山[6] 陈次斌 

机构地区：[1]广东省心血管病研究所,广州医学院第二附属医院510080 [2]第一军医大学南方医院 [3]第一军医大学珠江医院 [4]中山医科大学第一附属医院 [5]广州医学院第二附属医院 [6]广州市第一人民医院 [7]广州市第二人民医院

出　　处：《广东医学》1998年第3期172-173,共2页Guangdong Medical Journal

摘　　要：目的：回顾性总结广州多中心冠状动脉支架植入术的初步结果。方法：３４０例（男２８２例，女５８例，年龄３３￣８３岁，平均５８．３±２０．９岁）冠心病６４０支病变血管中有３８７支共植入支架４６０个。病人有陈旧性心肌梗塞史者１５８例（４６．４％），冠心病危险因素包括高血压２４３例（７１．５％）、糖尿病１０７例（３１．５％）、高脂血症２１９例（６４．４％）及嗜烟２１７例（６３．８％）。Objective To determine the initial results of intracoronary stenting in Guangzhou. Methods:Intracoronary stenting was performed in 340 patients with ischemic heart disease for 387 vessels using 460 stents. Coronary angiograms showed the single vessel lesion in 126 (37.1% ) patients, double vessel in 128 (37. 6% ) and triple vesed in 86(25. 3% ) respectively.ACC/AHA clasification was class A in 9 .7% of patients, class B1 in 35 .2%, class B2 in 29.5% and chass C in 25 .6%,respectively. There were 282 male and 58 female with the age of 58. 8±20.3(33 ~ 83) years. Old myocardial infarction was found in 158 patients (46 .4% ). The was a 12 .0% of stent implantation for acute occlusive complications following precutaneous transluminal coronary angilplasty. Results:The technical successful rate of intracoronary stenting was 97. 6% in case amount and 98. 3% in vessel amount. The obstruction lesion almost complete disappeared following stenting even the dilated lumen was bigger than the natural proximal vesell in some patients. During the procedure no death and acute myocardial infarction was noted.Conclusion: The initial results revealed that intracoronary stenting is an effective and safe non-surgical treatment for patients with ischemic heart disease.

关 键 词：冠心病 冠状动脉成形 支架 

分 类 号：R654.2[医药卫生—外科学]