急诊冠状动脉内支架置入治疗不稳定性心绞痛  

Treatment of Unstable angina with emergent coronary stenting installing

作　　者：冯毅东 王振兴[2] 徐标[2] 张丽容[2] 李殿富[2] 刘乃丰[2] 

机构地区：[1]南大学医学院附属医院心内科 [2]东南大学医学院附属医院心内科

出　　处：《中国介入心脏病学杂志》2001年第1期27-28,共2页Chinese Journal of Interventional Cardiology

摘　　要：目的探讨在不稳定性心绞痛病人症状未缓解状态下行急诊冠状动脉内支架置入的疗效及安全性。方法对５３例不稳定性心绞痛病人在心绞痛反复发作时即行冠状动脉造影，明确病变后行冠状动脉支架置入术。结果５３处病变置入５６个支架，术中无严重并发症，３４例心绞痛消失；９例有不典型胸痛，症状在１－２天内消失，无急诊冠状动脉搭桥及死亡。随访３个月～３年，６例冠脉造影证实再狭窄，５例行再次ＰＴＣＡ术后症状消失，１例行ＰＴＣＡ后仍有症状行冠状动脉旁路移植术（ＣＡＢＧ），无死亡病例。结论冠状动脉内支架置入治疗急性冠状动脉综合征近期及远期效果较好，治疗成功率及安全性较高。Objective To investigate the effect of the treatment on unstable angina with emergency coronary stent installing. Methods Having treated 53 patients suffering from unstable angina in recent 3 years. We treated the patients with angiography to illuminate the features of lesions and proceeded with PTCA + stenting when the angina was not completely controlled. Results We implanted 56 stents in 53 lesions. 34 patients had no symptom of angina after the procedure, and 9 patients had untypical chest pain which disappeared in 1-2 days. There were no death patients and cases which needed emergent CABG. After follow-up in 3 months to 3 years, there are 6 patients who had restenosis confirmed by coronary angiography. Through another PTCA process 5 patients symptom disappeared. 1 patient needed CABG when he still had angina after PTCA. No death in follow-up period. Conclusion This is an effective and safe method to treat unstable angina according to short or long period results.

关 键 词：不稳定性心绞痛 冠状动脉支架 治疗 

分 类 号：R541.405[医药卫生—心血管疾病]