金属裸支架在老年冠心病患者中的应用  

Implanting of bare-metal stent into coronary artery in old patients with coronary heart disease

作　　者：罗先润[1] 曹程浩[1] 魏娜[1] 张辉[1] 娄云霄[1] 李朝辉[1] 牛颖[1] 

机构地区：[1]武警河南总队医院心肾科,郑州市450052

出　　处：《中国心血管病研究》2012年第12期908-910,共3页Chinese Journal of Cardiovascular Research

摘　　要：目的评价金属裸支架在老年冠心病患者治疗中的安全性和有效性。方法2009年3月至2010年3月，按照标准方法，134例老年冠心病患者置人金属裸支架。结果134例患者支架置入均获成功，术中无主要并发症。住院期间主要不良心脏事件（MACE）1例（0．7％），系急性血栓形成。随访12-18个月，总MACE5例（3．7％），靶段血管再建术（TLR）5例（3．7％），支架内再狭窄16例（11．9％）。结论随着PCI策略及介入设备的不断改进，在有经验的介入中心，金属裸支架应用于老年冠心病患者介入治疗成功率高，可取得较好的近远期结果。Objective To evaluate the safety and efficacy of bare-metal stents （BMS） in old patients with coronary heart disease. Methods From January 2008 to June 2008, the coronary artery of 134 old patients with coronary heart disease was implanted BMS, according to normal methods. Results BMS were successfully implanted into coronary artery in 134 cases without complication during the procedure. In-hospital MACE developed in 1 case（0.7%）, that resulted from acute thrombus. The patients were followed up for 12-18 months. MACE developed in 5 cases （3.7%）, all were TLR. Restenosis had produced in 16 cases （11.9%）. Conclusion With the improvement of PCI strategies and intervention devices, BMS can be safely applied for the treatment of the old patient with coronary heart disease with satisfactory in-hospital and long-term outcomes in the experienced center.

关 键 词：金属裸支架 冠状动脉疾病 经皮冠状动脉介入治疗 回顾性分析 老年患者 

分 类 号：R541.4[医药卫生—心血管疾病]