冠状动脉内支架在冠状动脉分叉处病变中的应用  

Application of implatation of intracoronary stent in coronary artery branch diseases.

作　　者：谭小军[1] 刘向儒[1] 张小红[1] 廖恒运[1] 刘剑波[1] 张和平[1] 全凌峰[1] 陈莉娟[1] 

机构地区：[1]湖南省柳州市第一人民医院,423000

出　　处：《现代医药卫生》2002年第4期262-263,共2页Journal of Modern Medicine & Health

摘　　要：目的 :观察应用NIR冠状动脉支架治疗血管分叉处病变的临床及冠状动脉造影的结果。方法 :将36例冠状动脉分叉处病变的患者均置入NIR支架 ,并观察患者发生临床事件及6个月后的冠状动脉造影结果。结果 :6个月后完成临床及冠状动脉造影随访的患者32例 ,无1例发生急性冠状动脉闭塞、急性心肌梗死 ,3例发生了内支架再狭窄 (9 38 % ,直径>50 % ) ,仅有1例发生再狭窄后出现心绞痛 (33 3% ) ,3例分叉处血管发生再狭窄 (9 38 % ,其狭窄程度>60% ) ,有1例于术后第10天出现急性肺栓塞死亡。结论 :冠状动脉血管分叉处病变的患者经皮冠状动脉腔内成形术 (PTCA)成功后置入NIR支架 ,其发生临床事件及再狭窄率低 ,近。Objective:To observe the effect of clinic and coronary angiograply for application NIR coronary stent in blood vessel branch diseases.Methods:Thirdty-six patients of coronary artery branch stenosis were implanted NIR stent.The clinical events and result of coronary artery angiography were observed after six months.Results:32 patients in 36 patients were followed up.3 patients suffered from restenosis,restenosis rate was 9.38%,3 patients suffered from restenosis in coronary artery branch,one patient died of acute pulmonary embolism.Conclusions:implantating NIR stent for the patients of coronary artery branch stenosis after successful PTCA.The clinical event and restenosis rate were lower.The short and long-term clinical and angiographic result were favorable.

关 键 词：冠状动脉分叉处病变 冠状动脉内支架 临床应用 

分 类 号：R654.2[医药卫生—外科学]