直接置入冠脉内支架术治疗急性冠脉综合征58例  

Direct coronary stent without balloon dilation in 58 cases with acute coronary syndromes

作　　者：王宁夫[1] 冯丰[1] 张爽[1] 徐萍[1] 张湘兰[1] 白春锦[1] 

机构地区：[1]沈阳医学院附属第二医院介入科,沈阳110002

出　　处：《沈阳医学院学报》2001年第3期129-130,共2页Journal of Shenyang Medical College

基　　金：沈阳市科委重大课题 ;沈科 97493 5 0 41 3号

摘　　要：目的　探讨应用未预扩张直接置入冠脉内支架术治疗急性冠脉综合征的临床疗效及安全性。方法　对 5 8例急性冠脉综合征患者均采用未预扩张直接置入冠脉内支架术进行治疗。结果　成功率为 95 %,未发生支架脱落及偏位现象 ,3例支架扩张后残余狭窄 <3 0 %。结论　应用未预扩张直接置入冠脉内支架术治疗冠脉中等严重狭窄 (<85 %)的急性冠脉综合征患者 ,近期疗效确切 ,并发症少 ,操作简便、安全及经济。Objective To observe the clinical efficacy and safety of the therapy of direct intracoronary stent implantation without dilation in acute coronary syndromes. Methods All the 58 patients with acute coronary syndromes were treated with the therapy of direct intracoronary stent implantation without dilation. Results In 95%of cases,direct intracoronary stent implantation was successful without loss and shift of stent. In 3 cases, residual stenosis <30%after stenting. Conclusion The application of direct intracoronary stent implantation without dilation therapy in moderate or above coronary stenosis (stenosis <85%) of acute coronary syndromes is a simple and convenient,safe,economic method of reliable short-term curative effect with less complications.

关 键 词：急性冠脉综合征 直接冠脉内支架术 冠状动脉造影 治疗 心肌梗塞 

分 类 号：R542.22[医药卫生—心血管疾病]