经皮冠状动脉介入术在冠状动脉左主干病变的应用效果  

Outcomes of percutaneous coronary intervention in patients with left main coronary artery lesions

作　　者：王学斌[1] 赵良平[1] 江建良[1] 邵春来[1] 李晖[1] 尤涛[1] 陈建昌[1] 徐卫亭[1] 

机构地区：[1]苏州大学附属第二医院心脏病科,江苏省215004

出　　处：《江苏医药》2016年第1期35-37,共3页Jiangsu Medical Journal

基　　金：苏州市科技发展计划指导项目(SYSD2010125)

摘　　要：目的 总结经皮冠状动脉介入治疗（PCI）在冠状动脉左主干（LMCA）病变患者中的应用效果。方法 LMCA病变患者58例,按SYNTAX评分分为三组：低组（≤22分,15例）、中组（23~32分,30例）和高组（≥33分,13例）。均接受PCI治疗,随访PCI介入处理结果和主要不良心血管事件（MACE）发生情况。结果 患者均成功行PCI治疗：单支架组53例,双支架组5例。22例患者在PCI术后1年内行冠状动脉造影复查,2例（9.1%）发生支架内再狭窄。住院期间、PCI术后1个月时和1年时总体MACE发生率分别为1.7%、1.7%和7.0%。结论 对经选择的LMCA病变患者,多数可行单支架术式,PCI成功率高,MACE发生率较低。Objective To summarize the outcomes of percutaneous coronary intervention（PCI） in the patients with left main coronary artery（LMCA） lesions. Methods On the basis of SYNTAX scores,58 patients with LMCA lesions were assigned into three groups of A（≤22 points, 15 cases）, B（23-32 points, 30 cases） and C（≥33 points, 13 cases）. The patients were followed up for 12 months. The efficacy and incidence of major adverse cardiac events （MACE） of PCI were analyzed. Results PCI was successful in all cases, in whom single stent was implanted in 53 cases and double stents in five cases. Twenty-two cases were completed the follow up with angiography within one year after PCI, of whom 2 （9. 1%） cases had instent restenosis. The incidence rates of MACE during hospitalization, one month and one year after PCI were 1.7%, 1.7% and 7.0%, respectively. Conclusion On the basis of case selection, the majority of patients with LMCA lesions can be treated with single stent technique of PCI with high success rate and minor incidence rate of MACE

关 键 词：冠状动脉左主干 经皮冠状动脉介入治疗 

分 类 号：R543[医药卫生—心血管疾病]