陈良龙,范林,钟文亮,张琳琳,陈昭阳,蔡炜,罗育坤,林朝贵,彭亚飞,郑行春,董现峰

• 1:福建医科大学附属协和医院心内科

摘要(Abstract)：

目的介绍一种新型改良的裙裤(Culotte)技术处理真性冠状动脉分叉病变的初步临床经验。方法纳入2014年6月至2015年3月于福建医科大学附属协和医院采用单环Culotte支架术处理的15例真性冠状动脉分叉病变患者。记录患者手术时间、X线透视时间、对比剂用量,定量分析患者病变长度、术前和术后即刻最小管腔直径、参考血管直径及直径狭窄百分比,观察院内主要不良心血管事件(MACE)发生率。结果手术成功率为100%,未见手术并发症和院内MACE发生。手术时间为(34.3±9.6)min,X线透视时间为(18.1±3.8)min,对比剂用量为(112.0±24.5)ml。术前主支病变长度[(26.5±11.2)mm比(12.2±4.8)mm,P=0.001]、参考血管直径[(3.44±0.60)mm比(2.77±0.43)mm,P<0.001]和直径狭窄百分比[(80.8±11.8)%比(70.3±12.6)%,P=0.002]显著大于边支血管,而最小管腔直径显著小于边支血管[(0.64±0.36)mm比(0.82±0.35)mm,P=0.044];术后主支参考血管直径[(3.54±0.67)mm比(2.90±0.49)mm,P<0.001]和最小管腔直径[(3.18±0.61)mm比(2.61±0.46)mm,P<0.001]均显著大于边支血管,而直径狭窄百分比差异无统计学意义[(10.0±2.5)%比(10.2±5.3)%,P=0.932]。结论单环Culotte支架术安全易行,或许优于传统的Culotte支架术。

关键词(KeyWords)： 冠状动脉分叉病变;经皮冠状动脉介入治疗;裙裤支架术

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金(81370311);; 福建省科技厅社会发展重点基金(2013Y0043)

作者(Author): 陈良龙,范林,钟文亮,张琳琳,陈昭阳,蔡炜,罗育坤,林朝贵,彭亚飞,郑行春,董现峰

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