GuideLiner~延长导管在复杂经皮冠状动脉介入治疗中的临床经验  

Clinical efficacy and safety of Guide Liner~guide extension catheter application during complex coronary percutaneous coronary intervention procedure

作　　者：黄建楷[1] 李维杰 黎镇赐[1] 潘宜智[1] 刘震[1] 

机构地区：[1]广州市第一人民医院心血管内科,广州510180

出　　处：《广州医药》2018年第1期28-32,共5页Guangzhou Medical Journal

摘　　要：目的总结Guide Liner~延长导管在复杂经皮冠状动脉介入治疗(PCI)中的初步经验,探讨其有效性及安全性。方法选择2015年3月—2017年3月因冠心病于广州市第一人民医院行PCI的患者13例,因复杂病变需要更强支撑力而使用Guide Liner~延长导管完成手术,总结手术成功率、并发症以及6个月随访主要不良心脏事件的发生情况。结果 13例患者在Guide Liner~延长导管应用下均成功完成手术。使用延长导管的目的 2例手术为辅助球囊通过,7例为辅助支架通过,4例为辅助支架及球囊通过。全部患者均未发生术中及住院期间死亡、急性心肌梗死,未发生急性支架内血栓形成、目标冠脉夹层或穿孔、心包填塞等并发症,6个月随访均无不良心脏事件发生。结论应用延长导管可提高支撑力,有效辅助球囊和/或支架到达冠状动脉病变部位,提高手术成功率,安全性较高。Objective To evaluate the clinical efficacy and safety of GuidcLiner guide extension catheter during complex coronary percutaneous coronary intervention （PCI） procedures. Methods Thirteen patients with coronary heart diseases performed PCI procedures were included in this study from March 2015 to March 2017. GuideLiner guide extension catheters were used in these complex cases. The PCI success rate, incidence of complications and 6-month follow up data were observed. Results Benefited from the stronger support produced by GuideLiner, PCI success rate was 100%. The guide extension catheters were used for the delivery of balloons in 2 cases, while 7 cases for stents, and 4 cases for both balloons and stents. No death were observed during the procedure or in hospital, and there were no dissection or acute myocardial infarction. During 6 months of follow-up, there was no major adverse cardiac events （MACE）. Conclusion GuideLiner guide extension catheter may improve procedure success rate by ensuring the delivery of balloons and stents in complex PCI.

关 键 词：GuideLiner 延长导管 经皮冠状动脉介入治疗 

分 类 号：R541.4[医药卫生—心血管疾病]