冠状动脉内切割球囊成形术应用的初步体会  

Clinical application and initial experience of cutting balloon coronary angioplasty

作　　者：李保[1] 史世平[1] 邱龄 温静霞 李运乾 王绪太 

机构地区：[1]山西省心血管疾病研究所,030001

出　　处：《山西医药杂志》2000年第4期275-277,共3页Shanxi Medical Journal

基　　金：卫生部优秀青年科技人才基金!资助项目(992 1)

摘　　要：目的　评价经皮冠状动脉内切割球囊成形术的临床疗效。方法　使用切割球囊导管对 12例冠心病患者 ,男 11例 ,女 1例 ,年龄 (5 4± 6 )岁的 15支冠状动脉进行扩张。结果　手术成功率为 91.7% (11/ 12例 ) ,病变成功率为 93.3% (14/ 15支 )。未出现死亡、急性 Q波型心肌梗死和急性心包填塞等并发症。病变部位狭窄程度由术前的 (86± 7) %降至术后的 (2 8± 9) %。术后随访 1～ 10个月 ,有 2例复发心绞痛 ,其中 1例经血管造影证实为再狭窄。结论　切割球囊成形术是一种安全、有效的介入性治疗技术。Objective The purpose of the study was to evaluate the immediate and follow-up clinical outcome of cutting balloon angioplasty.Method Coronary angioplasty was performed using a new cutting balloon into which 3～4 longitudinally inlaid blades were in-corporated.This procedure was performed on 15 lesions in 12 patients [11 men,1 woman,aged (54±6) years].Results The operation success rates for cutting balloon were 91.7% of 11 patients and 93.3% of 14 lesions.There were no major in-hospital comlpications (deaths,Q wave AMI or emergency pericardial tamponade).The stenosis was reduced from (85±7)% to (28±9)% (±s).A one-to-ten-month follow-up showed that 2 cases had a relapse of chest pain,including 1 case of restenosis proved by coronary angiography.Conclusion Cutting balloon coronary angioplasty has high success rate with few major in-hospital events and lower restenosis rate.It is an effective and safe interventional therapy.

关 键 词：经皮冠状动脉腔内成形术 切割球囊成形术 PTCA 

分 类 号：R654.2[医药卫生—外科学]