Coroflex冠状动脉内支架的临床应用Clinical experience of coroflex intracoronary stent
杨震坤,沈卫峰,张建盛,张大东,张瑞岩,张宪,郑爱芳
摘要(Abstract):
目的 评估Coroflex冠状动脉内支架的临床应用效果。方法 回顾性分析 81例接受Coroflex冠状动脉内支架置入术患者的即刻疗效和临床随访结果。结果 81例患者共置入Coroflex冠状动脉内支架 88枚。根据ACC AHA分型 ,A B1 型病变 38处 ,B2 C型病变 5 0处。原发病变 5 2处 ,单纯球囊扩张术疗效不满意病变 2 2处 ,内膜撕裂病变 14处。支架成功置入 82处 (93 2 % )。 3例严重钙化病变需辅以高压 (16~ 18atm)球囊才充分扩张 ,2例支架远端发生内膜撕裂 ,1例弥漫性病变支架置入术后TIMI血流 2级。 75例患者平均随访 (7 5± 3 0 )月 (3~ 13月 ) ,无心源性死亡和心肌梗死 ;17例 (2 2 7% )有心绞痛 (CCS分类Ⅰ级 )发生 ;7例行冠状动脉造影复查 ,2例显示支架内再狭窄 ,予再次血管重建术后缓解。结论 Coroflex冠状动脉内支架可安全有效地应用于冠心病的介入治疗。
关键词(KeyWords): 冠心病;冠状动脉内支架置入术
基金项目(Foundation):
作者(Author): 杨震坤,沈卫峰,张建盛,张大东,张瑞岩,张宪,郑爱芳
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