冠状动脉内支架的临床应用Immediate Results of Intracoronary Stenting:Single Centre Experience
高炜,朱国英,霍勇,洪涛
摘要(Abstract)：
1992年9月至1996年9月，我院共开展冠状动脉内支架置入术138例，将186枚支架置入152支冠状动脉的167处病变。其中左主干病变占0．8％，左前降支50．8％，左回旋支18．3％，右冠状动脉为30．1％。93．7％为B或C型病变。置入的支架类型包括：Palmaz－Schatz支架，Gianturco－Roubin支架，NIR支架，Cordis支架，Wallstent，Multi－link支架，Wiktor支架及Gianturco－RoubinⅡ支架等8种。手术成功率97．8％，狭窄程度由术前的89．3％降至－5．0±8．5％，平均最小血管直径由0．33mm增至3．22mm。主要并发症率为0．72％（1例急性心肌梗塞），严重周围血管并发症1例。我们认为，在有经验的心脏中心可以安全而有效地开展冠状动脉支架术，并可酌情选用不同类型的支架，手术成功率高，并发症率低。
关键词(KeyWords)： 冠状动脉支架;血管成形术;经皮.经腔
基金项目(Foundation):
作者(Author): 高炜,朱国英,霍勇,洪涛
参考文献(References)：
- 1 Ellis SG. Elective Coronary Angioplasty:technique and complications. In Topol EJ, Textbook of Interventional Cardiology. 2nd ed 1994.
- 2 George BS, Voorhees WD, Roubin GS, et al. Multicenter investigation of coronary stenting to treat acute or threatened closure after percutaneous transluminal coronary angioplasty: clinical and angiographic outcome. J Am Coll Cardiol,1993,22:135
- 3 Carrozza IP, Kuntz RE, Levine MJ, et al.Angiographic and clinical outcome of intracoronary stenting: Immediate and long-term results from a large single center experience. J Am Coll Cardiol,1992,20:328
- 4 Agrawal S, Liu M, Hearn J, et al. Can preemptive stenting improve the outcome of acute closure?J Am Coll Cardiol ,1993,21:291A.
- 5 Fischman DL, Leon MB, Baim DS, et al. A randomized comparison of ronarystent placement and balloon angioplasty in the treatment of coronary artery disease.N Engl J Med,1994,331:496.
- 6 Surreys PW,de Jaegere P,Kiemaneij F,et al.A comparison of balloon-xpandable stent implantation with balloon angioplasty in patients with coronary artery disease. N Engl J Med,1994,331:489.
- 7 Colombo A,Hall P,Nakamura S,et al.Intracoronary stenting without coronary stent anticoagulation accomplished with intravascular ultrasound guidance. Circulation, 1995,91:1676.