准分子激光在冠状动脉介入治疗中应用2例  

Two cases of the use of ELCA in the percutaneous coronary intervention

作　　者：袁永刚[1] 刘永兴[1] 彭万忠[1] 李英凯 徐泽升[1] YUAN Yonggang;LIUYongxing;PENG Wanzhong;LI Yingkai;XU Zesheng(Department of Cardiology,Cangzhou Central Hospital,Cangzhou,061000,China;Graduate School of Hebei Medical University)

机构地区：[1]沧州市中心医院心内二科,河北沧州061000 [2]河北医科大学研究生院

出　　处：《临床心血管病杂志》2018年第8期831-833,共3页Journal of Clinical Cardiology

摘　　要：1病例资料例1,男,66岁,既往有高血压病、脑栓塞病史,胸痛2周入院,入院血压120/70mmHg（1mmHg=0.133kPa）,心率68次/min,心电图提示窦性心律,Ⅱ、Ⅲ、aVF导联有Q波。入院诊断：冠心病,急性下壁心肌梗死。择期行冠状动脉（冠脉）造影提示左主干（LM）正常,左回旋支（LCX）近段以远完全闭塞,左前降支（LAD）近中段斑块,狭窄70%左右,右冠脉（RCA）散在斑块。LCX为罪犯血管。We evaluated both feasibility and safety of excimer laser coronary atherectomy（ELCA）in managing complicated coronary lesions in the article.Two patients was selected.When underwent ELCA,two parameters were selected with 40~60 mJ/mm^2,30~40 pulses/s.The coronary plaque was treated 1 time by ELACA,which took no more than 10 minutes.With the ELCA catheter gone through lesions,the balloons dilated completely and stents implanted,both patients achieved the revascularization without any complications.

关 键 词：冠状动脉疾病 经皮冠状动脉介入治疗 准分子激光 

分 类 号：R541.4[医药卫生—心血管疾病]