切割球囊与普通球囊在冠心病介入治疗中的应用对比  

Comparison of Application of Cutting Balloon and Plain Balloon in Interventional Treatment of Coronary Heart Disease

作　　者：刘洋 祝焕林 王帅 轩楠[2] LIU Yang;ZHU Huan-lin;WANG Shuai;XUAN Nan(Department of Cardiology and Nephrology,the 968th Hospital,Joint Logistic Support Force,Liaoning Jinzhou 121001;Department of Cardiology,Jinzhou Central Hospital,Liaoning Jinzhou 121001)

机构地区：[1]联勤保障部队第九六八医院心肾内科,辽宁锦州121001 [2]锦州市中心医院心内科,辽宁锦州121001

出　　处：《中国医疗器械信息》2024年第12期57-59,共3页China Medical Device Information

摘　　要：目的:比较切割球囊(CB)与普通球囊(PB)在冠心病介入治疗中的应用效果与安全性,为临床实践中更好地选择治疗方案提供参考。方法:选取2018年3月~2022年5月在联勤保障部队第九六八医院及锦州市中心医院心内科接受冠状动脉介入手术治疗的冠心病患者进行回顾性分析。所有患者均接受了药物洗脱支架(DES)植入术,按照支架植入前扩张时所用球囊分为CB组和PB组。收集所有患者介入治疗之前的基线资料、手术相关信息、术后住院期间和1年随访的结果。本研究的主要终点为1年随访时的晚期管腔丢失(LLL)和再狭窄的发生率。结果:根据纳入排除标准,共有74例患者纳入分析,其中CB组35例,PB组39例。术后1年随访结果显示,CB组LLL优于PB组(P<0.05),两组患者再狭窄的发生率无统计学意义(P>0.05)。两组患者共有6例在随访期间发生MACE,其中CB组2例(5.7%),PB组3例(7.7%),两组差异有统计学意义(P<0.05)。术后1年随访期间CB有2例(5.7%)患者再次接受TLR,PB组有4例(10.3%)接受TLR(P>0.05)。术中和术后住院期间的并发症发生率差异无统计学意义(P>0.05)。结论:冠状动脉介入治疗中使用CB在1年随访时的LLL优于PB,且安全性好。Objective:To compare the application effect and safety of cutting balloon(CB)and plain balloon(PB)in interventional treatment of coronary heart disease,and provide reference for better selection of treatment plans in clinical practice.Methods:A retrospective analysis was conducted on patients with coronary heart disease who underwent coronary intervention surgery in the Department of Cardiology at the 968 Hospital of the Joint Logistics Support Force and Jinzhou Central Hospital from March 2018 to May 2022.All patients received drug-eluting stent(DES)implantation.Based on the balloons used for dilation before stent implantation,the patients were divided into the CB group and the PB group.Collect baseline data,surgical related information,postoperative hospitalization period,and 1-year follow-up results from all patients before intervention treatment.The main endpoint of this study was the incidence of late luminal loss(LLL)and restenosis at 1-year follow-up.Results:According to the inclusion exclusion criteria,a total of 74 patients were included in the analysis,including 35 in the CB group and 39 in the PB group.1-year follow-up rresults showed that LLL in CB group was better than that in PB group(P<0.05),and the incidence of restenosis in both groups was not statistically significant(P>0.05).A total of 6 patients in both groups experienced MACE during the follow-up period,including 2(5.7%)in CB group and 3(7.7%)in PB group,with significant differences(P<0.05).2(5.7%)CB patients received another TLR during the 1-year postoperative follow-up period,and 4(10.3%)in the PB group received another TLR(P>0.05).There was no significant difference in the complication rate between intraoperative and postoperative hospitalization(P>0.05).Conclusion:The use of CB in coronary intervention has a better LLL than PB at 1-year follow-up and is safe.

关 键 词：冠心病 切割球囊 普通球囊 

分 类 号：R541.4[医药卫生—心血管疾病]