支架置入术后冠状动脉瘤样扩张的临床研究Clinical study on coronary artery ectasia post stent implantation
陈玉东,王青海
摘要(Abstract):
目的分析冠脉支架置入术后冠状动脉瘤样扩张的临床特点。方法支架置入术后半年至2年复查冠脉造影的患者,筛选支架处动脉瘤样扩张患者,分析易患因素,并对患者进行随访。结果 1209例患者于支架术后复查冠脉造影,有11例发现发生了支架相关冠状动脉瘤样扩张。其中8例为男性(8/1209),9例为药物支架(9/1209),发生在前降支者6例(6/1209),右冠脉者5例(5/1209)。对发生动脉瘤患者进行随访,在平均18个月(9~25个月)的随访中,发生1例因心绞痛住院,1例冠状动脉瘤样扩张患者在16个月后再次复查造影,动脉瘤样扩张消失。结论支架置入术后冠状动脉瘤样扩张总体发生率低,远期预后良好。
关键词(KeyWords): 冠状动脉疾病;支架;药物洗脱支架;冠状动脉瘤样扩张
基金项目(Foundation):
作者(Author): 陈玉东,王青海
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