冠状动脉支架20例临床应用体会
张大东,沈卫峰,张建盛,张宪,郑爱芳
摘要(Abstract):
20例冠状动脉支架(Gianturco-Roubin支架)均植入成功,1例左前降支冠状动脉腔内成形术(PTCA)时急性阻塞而行支架术,患者于术后3小时出现-过性胸前导联病理性Q波,其余各例无冠状动脉内支架急怀或亚急性血栓性阻塞并发症.因此,用Gianturco-Roubin支架在处理PTCA并发冠状动脉急性阴塞时安全有效.
关键词(KeyWords): 冠心病;腔内成形术;经皮;经腔;支架;冠脉内
基金项目(Foundation):
作者(Author): 张大东,沈卫峰,张建盛,张宪,郑爱芳
参考文献(References):
- [1]Simpfendorfer C, Belardi J. Bellamy G,et al. Frequency,man agement and follow-up of patients with acute coronary occlusion after percutaneous transluminal angioplasty. Am J Cardi ol,1987,59:267.
- [2]Serruys PW. Strause BH. Beatt KJ. et al. Angiographic follow-up after plaecment of a self-expanding coronary artery atent. N Engl J Med,1991,324:13.
- [3]George BS. Voorhees WD III. Roubin GS, et al. Multiconter investigation of coronary stenting to treat acute or threatened closure after percutaneous transluminal coronary angioplasty:clinical and angiographic outcomes. J Am Coll Cardiol,1993,22:185.
- [4]Cho SY, Shim WH, HaJW, et al. Intracoronary stents for management of coronary dissection after balloon angioplasty. Asian Cardiovasc Thorac Ann,1995,3:53.
- [5]Bar O. Fajadet J. Diaz L,et al. Early outcome after coronary stenting:comparison between Gianturco-Roubin and Palmaz-Schatz.
- [6]Triana JF, Voorhees WD, Feamot NE. et al. Intracoronary stent thrombosis: a major contributor to an adverse long term outeome. Circulation,1992,86(Suppl I):1.
- [7]Stauffer JC, Goy JJ, Vogt P .Kappenbergrr L. Restenosis rate after coronary artery stenting versus prolonged balloon inflation for treatment of acute occlusion following conventional angioplasly. Circulation.1992.86 (Suppl I):1.