冠状动脉弥漫长病变的支架介入治疗The therapy of stents implantation for coronary long lesion
孟康,吕树铮,张巍,陈韵岱,刘文娴,柳宏,田锐
摘要(Abstract):
目的 比较单个和多个相邻的支架治疗冠状动脉长病变的再狭窄率。方法 回顾性分析 1997~ 1999年间我院接受PTCA加支架植入术治疗的冠状动脉长病变 (>2 0mm)患者 6 4例 (男 5 0例 ,女 14例 ) ,处理靶血管共 6 9支。根据支架植入数量分为两组 :A组 43支 (单个长支架 ) ,B组 2 6支(2~ 3个支架相邻接 )。术后 6~ 10个月复查冠状动脉造影 ,评价支架植入术后再狭窄率。结果 6 4例患者住院期间无急性、亚急性血栓形成 ,无心肌梗死 ,无死亡。单个长支架和多个支架相邻接治疗冠状动脉长病变的再狭窄率无明显统计学差异。结论 支架治疗冠状动脉长病变的疗效令人满意。采用单个长支架和多个支架治疗后再狭窄率是一致的。选择支架要着重考虑病变特点。
关键词(KeyWords): 长病变;支架;再狭窄率
基金项目(Foundation):
作者(Author): 孟康,吕树铮,张巍,陈韵岱,刘文娴,柳宏,田锐
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