唐建军,方臻飞,胡信群,唐亮,赵延恕,沈向前,周胜华

• 1:中南大学湘雅二医院心血管内科

摘要(Abstract)：

目的评价"拘禁导丝"技术处理复杂病变的效果及安全性。方法纳入2014年6月至2017年6月在中南大学湘雅二医院、岳阳市人民医院、永州市人民医院、湘西自治州人民医院行经皮冠状动脉介入治疗的患者共12 640例,其中球囊或支架不能通过病变的患者25例,21例采用了"拘禁导丝"技术,根据"拘禁导丝"的选择分为亲水涂层导丝组(9例)和无亲水涂层导丝组(12例)。评价"拘禁导丝"技术的效果及安全性,比较选择不同"拘禁导丝"手术成功率及并发症发生情况。结果21例患者中18例(18/21)手术成功,其中同一支血管作为"拘禁导丝"置入血管成功9例(9/11),不同血管成功9例(9/10),两者比较差异无统计学意义(P=0.593)。亲水涂层导丝组手术成功7例(7/9),无亲水涂层导丝组成功11例(11/12),两组间比较差异无统计学意义(P=0.386)。所有患者"拘禁导丝"均成功拔除,无相关并发症发生。结论 "拘禁导丝"技术对于球囊或支架不能通过病变是可行的。

关键词(KeyWords)： “拘禁导丝”技术;经皮冠状动脉介入治疗

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 唐建军,方臻飞,胡信群,唐亮,赵延恕,沈向前,周胜华

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