冠状动脉完全闭塞病变的介入治疗  

The intervention therapy on total coronary artery occlusion

作　　者：黄超联[1] 沈珠军[1] 朱文玲[1] 韩丁[1] 姜秀春[1] 

机构地区：[1]中国医学科学院中国协和医科大学北京协和医院心内科

出　　处：《中华心血管病杂志》1999年第2期90-91,共2页Chinese Journal of Cardiology

摘　　要：目的观察急性和慢性冠状动脉闭塞经皮冠状动脉腔内成形术（ＰＴＣＡ）治疗的效果。方法３２例患者共３８支完全闭塞血管进行了ＰＴＣＡ或ＰＴＣＡ＋支架治疗。结果１２例急性心肌梗塞（ＡＭＩ）其中４例直接和８例行补救性ＰＴＣＡ均成功（１２／１２，１００％）；２０例择期ＰＴＣＡ中１４例成功（７０％）。结论血管闭塞时间越长，ＰＴＣＡ成功率越低。本组病例无一例出现严重并发症，表明冠状动脉完全闭塞行ＰＴＣＡ＋支架治疗是安全有效的。Objective The effects of PTCA on acute and chronic total coronary artery occlusions were studied.Methods PTCA or stent implantation were performed in 32 patients with 38 total vessel occlusion. Results The results showed 100% success rate in 4 direct and 8 rescure PTCA for acute myocardial infarction and 70% success rate in 20 selective PTCA. Conclusion It was found that the longer occlusion of the lower success in PTCA intervention. No severe complications occurred during this procedure.

关 键 词：血管闭塞 血管成形术 PTCA 冠状动脉 冠心病 

分 类 号：R541.405[医药卫生—心血管疾病] R654.2[医药卫生—内科学]