Jailed球囊对冠状动脉分叉病变介入治疗中分支血管开口及闭塞发生率的影响  

Study on the effect of application of jailed balloon for interventional treatment of bifurcation lesions in coronary artery and the incidence of opening and closing of vascular branches

作　　者：曹佳齐[1] 郑宏超[1] 

机构地区：[1]复旦大学附属中山医院徐汇医院心内科,上海200031

出　　处：《临床和实验医学杂志》2017年第5期477-479,共3页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨Jailed球囊对冠状动脉分叉病变介入治疗中分支血管开口及闭塞发生率的影响。方法选取2013年6月至2015年5月收治的冠状动脉分叉病变患者90例,随机分为对照组和观察组,每组各45例,其中对照组患者接受分支血管球囊对吻术,观察组患者接受拘禁闭陷球囊技术(JBT),对比分析两组患者术后的手术相关指标,主要不良心脏事件(MACE)以及分支血管开口及闭塞发生率。结果随访结果显示对照组和观察组患者在分支闭塞和再狭窄发生率、主支血管最大狭窄程度方面差异无统计学意义(P>0.05),而两组患者的分支血管开口狭窄程度相比差异有统计学意义(P<0.05);并且两组患者心血管不良事件发生情况无统计学差异(P>0.05),且观察组的PCI操作时间和曝光时间明显短于对照组,造影剂用量少于对照组,差异有统计学意义(P<0.05)。结论采用Jailed球囊技术对冠状动脉分叉病变进行介入治疗,有效地减少了手术并发症、节省了手术耗材,不增加心血管不良事件的发生风险,值得临床推广应用。Objective To explore the application of jailed balloon for intervention treatment of coronary bifurcation lesions and the incidence of opening and closing of vascular branches. Methods A total of 90 patients with coronary bifurcation lesions in this hospital during June2013 to May 2015 were randomly divided into control group and observation group,45 cases in each group,patients in control group received anastomosis on ballon of branch vessel surgery,patients in observation group received custodial closing trap balloon technique（ jailed balloon technique,JBT）,operation related indicators,major adverse cardiac events（ MACE） and opening and closing rates of branch vessels in patients of these 2 groups were comparatively analyzed. Results The results of follow-up showed that the observation group and the control group of patients in branch occlusion and the incidence of restenosis,no significant difference（ P〉0.05） the main aspects of the largest vessel stenosis,and two groups of patients with cardiovascular adverse events without significant statistics Learn the difference（ P〈0.05）,and branch vessel opening stenosis was significant differences（ P〈0.05）,and the observation group PCI operation time and the exposure time was significantly shorter than the control group,the amount of contrast agent more little difference was statistically significant（ P〈0.05）. Conclusion Jailed balloon technique can effectively reduce the surgical complications,save surgical supplies,and does not increase the risk of cardiovascular events,hence it should be widely applied in the course of clinical treatment for coronary bifurcation lesions.

关 键 词：冠状动脉分叉病变 介入治疗 Jailed球囊 血管开口 闭塞 

分 类 号：R541.4[医药卫生—心血管疾病]