急性心肌梗塞冠状动脉支架植入术  

Stent Implantation in Acute Myocardial Infarction

作　　者：付和睦[1] 杜红文[1] 张蕴[1] 崔长宗 付文[2] 

机构地区：[1]西安医科大学第一附属医院影像中心,西安710061 [2]西安医科大学第一附属医院心内科,西安710061

出　　处：《中国医学影像学杂志》2000年第6期421-423,共3页Chinese Journal of Medical Imaging

摘　　要：目的 :探讨急性心肌梗塞 (AMI)支架植入术的临床应用价值。材料和方法 :AMI冠状动脉高压球囊支架植入 2 4例。男 2 3例 ,女 1例。年龄 40～ 72岁 ,平均 5 1 3岁。AMI前壁 10例 ,前侧壁 3例 ,前间壁 2例 ,下壁和下后壁各 4例 ,侧壁 1例。结果 :2 6支与梗塞相关的血管植入支架 2 8只。支架适应证Primary 4例 ,Denovo 5例 ,Suboptimal 8例 ,Bial out 7例。术后血管残余狭窄 3 8± 6 9% ,均无严重急性、亚急性血管和出血并发症。术后冠状动脉造影 (CAG)随访 3例 ,平均随访时间 84 3天 ,无支架再狭窄。结论 :AMI确诊后尽早行支架植入术 ,可取得满意的疗效。Purpose: To evaluate the clincal application of stenting implantation in acute myocardial infarction (AMI). Materials and Methodes: 24 cases of acute myocardial infarction treated by stenting implantation were reviewed. There were 23 male and 1 female. They ranged in age from 40 to 72 years (mean, 51.3 years). Infarcts were located in anterior wall, 10 cases, antero-lateral wall, 3 cases, antero-intervalic wall, 2 cases, inferior wall, 4 cases, posterior wall, 4 cases and lateral wall, 1 case. Results: 28 introcoronary-stent were implanted in the 26 branches of infarct-related artery. Indications were: Primary in 4, De novo in 5, Suboptimal in 8, Bail-out in 7. Residual diameter stenosis was 3.8±6.9%. No acute or subacute intro-stent thrombosis and severe bleeding was observed in a total of 28 stents. 3 cases were followed up by cardioangiography (CAG) for 84.3 days on the average, no restenosis was found. Conclusion: If stent implantation is performed as soon as possible in acute myocardial infarction proved by clinical manifestation and electrocardiography (ECG), the results of the procedure is efficient. But the long-term benefit remains to be determined.

关 键 词：血管成型术 冠状动脉支架 急性心肌梗塞 

分 类 号：R542.220.5[医药卫生—心血管疾病] R816.2[医药卫生—内科学]