冠状动脉内支架置入术治疗复杂性冠状动脉病变  

Clinical application of percutaneous intracoronary stent in patients with complex coronary artery disease

作　　者：李保[1] 刘卓敏[1] 温静霞[1] 邱龄[1] 梁峰[1] 史世平[1] 王惠仙[1] 芦丽芳[1] 李运乾[1] 

机构地区：[1]山西省心血管疾病研究所

出　　处：《中华放射学杂志》1998年第10期664-666,共3页Chinese Journal of Radiology

摘　　要：目的探讨经皮冠状动脉腔内支架置入术治疗复杂性冠状动脉病变的疗效。方法对４０例４６支病变冠状动脉置入支架４８枚。置入前降支３５枚、回旋支２枚、右冠状动脉１１枚。结果术后经冠状动脉造影证实疗效满意，支架置入的成功率为１００％，术后１例发生亚急性支架血栓形成，１例出现穿刺部位出血。结论经皮冠状动脉内支架置入术治疗复杂性冠状动脉病变是一种安全有效的介入性治疗技术，其成功率高，并发症低。Purpose To explore the therapeutic value of percutaneous intracoronary stent implantation in the treatment of complex coronary artery disease. Methods Intracoronary stenting was performed in 40 cases with 46 branches of coronary arterial lesions using a total of 48 stents. 35 stents were implanted in left anterior desending, 2 in left circumflex and 11 in right coronary artery. Results Postoperative coronary arteriography confirmed satisfactory therapeutic effects. The success rate of the implantation was 100%.Postoperatively, subacute thrombosis occurred in one stent and severe bleeding occurred at the puncture site in one case. Conclusion Percutaneous intracoronary stenting in the treatment of complex coronary artery disease is a safe and efficient interventional procedure with a high success rate and few complications.

关 键 词：血管成形术 介入放射学 冠状动脉病变 

分 类 号：R654.2[医药卫生—外科学] R814.4[医药卫生—临床医学]