李海权,马改改,刘小军,苏丹,吕亚瑞,王新宏,韩振华,邓捷

• 1:西安交通大学第二附属医院心内科

摘要(Abstract)：

目的 评估经皮冠状动脉腔内冲击波球囊导管成形术（IVL）治疗急性冠状动脉综合征（ACS）及慢性冠状动脉综合征（CCS）患者冠状动脉钙化的有效性及安全性。方法 回顾性分析2023年2月至2024年6月于西安交通大学第二附属医院心内科接受IVL治疗的冠状动脉钙化患者共47例，其中ACS组22例，CCS组25例。通过比较两组患者基线资料、术中并发症、临床成功率及术后30 d随访患者主要不良心血管事件（MACE），评估IVL治疗ACS及CCS患者冠状动脉钙化的有效性及安全性。结果 ACS组支架置入成功21例（21/22;95.5%）,CCS组支架置入成功25例（25/25;100.0%），差异无统计学意义（P=0.468）;ACS组1例（1/22;4.5%）、CCS组3例（3/25;12.0%）患者术中IVL球囊破裂，ACS组1例（1/22;4.5%）患者IVL钙化斑块修饰后慢血流，两组均无IVL相关血管夹层及靶血管破裂发生，术中并发症发生率比较，差异均无统计学意义（均P>0.05）。随访30 d时发生MACE 3例，两组患者MACE发生率比较差异无统计学意义（9.1%比4.0%,P=0.593）。结论 对于ACS及CCS患者，IVL治疗冠状动脉钙化均是有效安全的。

关键词(KeyWords)： 冠状动脉钙化;经皮冠状动脉腔内冲击波球囊导管成形术;急性冠状动脉综合征;慢性冠状动脉综合征

Abstract:

Keywords:

基金项目(Foundation): 陕西省自然科学基金面上项目（2016JM8059）

作者(Author): 李海权,马改改,刘小军,苏丹,吕亚瑞,王新宏,韩振华,邓捷

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