EXCEL支架在冠状动脉分叉病变应用的研究  

Effect of EXCEL stents on bifurcation lesions of coronary

作　　者：李大鹏[1] 翁志远[1] 苏大宇[1] 公兰兰 郑志虹[1] 殷实[1] 

机构地区：[1]佳木斯市中心医院,黑龙江佳木斯154002

出　　处：《心血管康复医学杂志》2010年第4期421-424,共4页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的：探讨EXCEL雷帕霉素洗脱支架治疗冠状动脉分叉病变的安全性和有效性.方法：共56例病人有57处冠状动脉真性分叉病变（其中前降支/对角支30例,左回旋支/钝缘支17例,右冠脉/后降支8例,前降支/回旋支1例）接受主支血管EXCEL雷帕霉素洗脱支架和分支血管球囊扩张术,回顾性分析其结果.结果：手术即刻成功率100%,住院期间无主要不良心脏事件（MACE）发生.6-18个月随访[临床随访率100%,造影随访38例（67.9%）] 结果显示：MACE发生1例（1.8%, 1/56）,为造影证实的支架内再狭窄＞70%,并实施了再次PCI.造影再狭窄率为5.3%（2/38）.结论：EXCEL雷帕霉素洗脱支架治疗冠状动脉分叉病变安全,有效.Objective： To investigate the effect of EXCEL stents on bifurcation lesions of coronary. Methods： The 56 patients with bifurcation lesions 1-57 bifurcation lesions, in which anterior descending branch/opposite angle branch was 30 cases, left convolution branch/blunt marginal ramus 17 cases, right coronary/posterior descending branch 8 cases, anterior descending branch / convolution branch one case] of coronary accepted EXCEL rapamycin elute-stent and sacculus dilation. The result was analyzed. Results： Immediately achievement ratio of operation was 100%. There was no major adverse cardiovascular events （MACE） in hospital stay. There was one MACE （1.8%, 1/56, restenosis of stent〉70%）, two case of coronary angiographyrestenosis （5.3%, 2/38）. Conclusion： The EXCEL stents is effect and safe for bifurcation lesions of coronary.

关 键 词：冠状动脉疾病 冠状动脉狭窄 支架 

分 类 号：R543.31[医药卫生—心血管疾病]