双指引导管对吻技术取出部分脱载冠状动脉支架的安全性和有效性分析  

Safety and efficacy of dual guiding catheter kissing technique in the treatment of stent partially dislodgement in coronary artery

作　　者：韩战营[1] 单迎光[1] 卢文杰[1] 秦小飞[1] 孙国举[1] 王玺[1] 潘亮[1] 张文才[1] 邱春光[1] Han Zhanying;Shan Yingguang;Lu Wenjie;Qin Xiaofei;Sun Guoju;Wang Xi;Pan Liang;Zhang Wencai;Qiu Chunguang(Department of Cardiovascular Medicine,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院心血管内科,郑州450052

出　　处：《中华心血管病杂志》2022年第9期895-899,共5页Chinese Journal of Cardiology

摘　　要：目的探讨在经皮冠状动脉介入治疗过程中,采用双指引导管对吻技术取出部分脱载冠状动脉支架的安全性和有效性。方法本研究为回顾性、队列研究。连续入选2016年2月至2019年6月期间,在郑州大学第一附属医院心血管内科行冠状动脉介入治疗过程中,发生冠状动脉支架部分脱载的6例冠心病患者,使用双指引导管对吻技术尝试取出脱载支架。收集患者的年龄、性别及临床诊断信息,记录支架取出的成功率,介入治疗的手术成功率以及住院期间并发症发生情况。术后随访1年,记录全因死亡和主要不良心脏事件的发生情况。结果共入选6例支架部分脱载的患者,男性3例(3/6),年龄49~68岁,其中不稳定性心绞痛4例(4/6),稳定型心绞痛2例(2/6)。所有患者均成功将部分脱载的冠状动脉支架取出体外。除1例患者放弃再次置入冠状动脉支架外,另外5例均成功置入冠状动脉支架。住院期间无严重并发症的发生,术后随访1年,无死亡病例,无不良心脏事件发生。结论对于经皮冠状动脉介入治疗过程中需要取出部分脱载的冠状动脉支架的患者,双指引导管对吻技术安全有效。Objective To investigate the safety and efficacy of dual guiding catheter kissing technique(DCK)in the treatment of stent partly dislodgement in coronary artery.Methods The study retrospectively involved 6 hospitalized patients with coronary artery stent partly dislodgement during PCI at The First Affiliated Hospital of Zhengzhou University from February 2016 to June 2019,DCK was used in these patients.We observe the success rate of stent retrieval,success rate of PCI,incidence of complications and major adverse cardiovascular events in 1 year follow up.Results 6 patients were involved,of which 3 are male,ages range 49 to 68 years old,4 patients are diagnosed with unstable angina,the other two are stable angina.All the partially disloged stents in the 6 patients were successfully removed from coronary artery.Except for 1 patient who refused coronary artery stenting again,the other 5 patients were successfully implanted coronary artery stenting.No serious complications occurred,no patients died and no major adverse cardiovascular events happened during 1 year follow up.Conclusions DCK is safe and effective to remove partially dislodged stent in coronary artery.

关 键 词：冠心病 经皮冠状动脉介入治疗 支架脱载 双指引导管对吻技术 

分 类 号：R541.4[医药卫生—心血管疾病]