急诊冠状动脉内支架置入治疗不稳定性心绞痛Treatment of Unstable angina with emergent coronary stenting installing
冯毅东,王振兴,徐标,张丽容,李殿富,刘乃丰
摘要(Abstract)：
目的探讨在不稳定性心绞痛病人症状未缓解状态下行急诊冠状动脉内支架置入的疗效及安全性。方法对５３例不稳定性心绞痛病人在心绞痛反复发作时即行冠状动脉造影，明确病变后行冠状动脉支架置入术。结果５３处病变置入５６个支架，术中无严重并发症，３４例心绞痛消失；９例有不典型胸痛，症状在１－２天内消失，无急诊冠状动脉搭桥及死亡。随访３个月～３年，６例冠脉造影证实再狭窄，５例行再次ＰＴＣＡ术后症状消失，１例行ＰＴＣＡ后仍有症状行冠状动脉旁路移植术（ＣＡＢＧ），无死亡病例。结论冠状动脉内支架置入治疗急性冠状动脉综合征近期及远期效果较好，治疗成功率及安全性较高。
关键词(KeyWords)： 不稳定性心绞痛;冠状动脉支架;治疗效果
基金项目(Foundation):
作者(Author): 冯毅东,王振兴,徐标,张丽容,李殿富,刘乃丰
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