高阳,王效增,赵昕,荆全民,刘海伟,刘小江,张雪峰,韩雅玲

• 1:沈阳军区总医院心内科
• 2:沈阳军区总医院麻醉科
• 3:沈阳军区总医院普通外科

摘要(Abstract)：

目的评价胸降主动脉夹层合并冠心病的患者行主动脉腔内隔绝术联合经皮冠状动脉介入治疗(PCI)的远期疗效。方法收集2002年4月至2013年10月完成的40例主动脉腔内隔绝术联合PCI治疗胸降主动脉夹层合并冠心病患者,首先完成主动脉腔内隔绝术,3~7 d后完成PCI,观察远期疗效。结果经桡动脉行主动脉造影:共置入40枚覆膜支架,手术成功率100%。无截瘫、死亡等并发症发生。40例患者行PCI成功率为100%,对54支靶血管共置入59枚支架,无PCI相关严重并发症发生。随访37例(92.5%),失访3例,平均随访(56±31)个月。随访期间有3例(8.1%)死亡,其中脑出血2例,恶性肿瘤1例。2例(6.9%)主动脉腔内隔绝术联合PCI的患者随访期发生主要不良心脏事件。结论主动脉腔内隔绝术联合PCI治疗胸降主动脉夹层合并冠心病安全可行,手术成功率高,主要不良心脏事件发生率较低,远期疗效好。

关键词(KeyWords)： 主动脉夹层;冠心病;主动脉腔内隔绝术;经皮冠状动脉介入治疗;远期疗效

Abstract:

Keywords:

基金项目(Foundation): 辽宁省科技计划项目(2012225009)

作者(Author): 高阳,王效增,赵昕,荆全民,刘海伟,刘小江,张雪峰,韩雅玲

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