直接冠状动脉支架置入长期临床观察  

LONG-TERM EFFECTIVENESS OF DIRECT CORONARY STENTING WITHOUT PREDI-LATION

作　　者：潘明康[1] 冯红兵[1] 吴燕群[1] 潘朝锌[1] 

机构地区：[1]广西柳州铁路局中心医院心内科,柳州545007

出　　处：《广西医科大学学报》2003年第2期201-202,共2页Journal of Guangxi Medical University

基　　金：广西区科技厅攻关课题 (桂科攻 0 0 3 5 0 0 2)

摘　　要：目的 :观察直接冠状动脉支架置入术的长期临床效果。方法 :选择 2 6例冠心病患者 ,不作冠状动脉预扩张而直接置入支架 ,长期随访观察其远期效果。结果 :2 6例患者 30处病变均未行球囊预扩张 ,成功置入 30只支架 ,无并发症发生。随访 6～ 30个月 ,平均 (1 8.6± 8.2 )个月 ,4例有胸闷不适 ,冠脉造影复查此 4例 (6个支架 )有 3例 (3个支架 )再狭窄。结论 :在选择的冠心病人中 ,直接冠状动脉内置入支架是安全的 。Objective:To expole the long term effectiveness of primary coronary stenting in the patients with coronary heart disease.Methods:26 cases with 30 of lesions were selected for direct coronary stenting without the predilation procedure,we have been following up these patients 6 30 months to confirm the long term effect.Result:In 26 cases 30 stents crossed 30 lesions without predilation, the success rate was 100%.There was no complications. We had followed up all cases for 6 30 months(18 6±8 2 months on the average),and 4 cases(15 4%) had chest pain again. Coronary angiography was repeatedly done for the 4 cases(6 stents), only 3 cases(3 stents)had restenosis.Conclusion:Coronary stenting without predilation is safe and feasible,and has good long term effect for selective patients.

关 键 词：冠心病 冠状动脉支架置入 冠状动脉成形术 临床效果 

分 类 号：R541.4[医药卫生—心血管疾病] R654.2[医药卫生—内科学]