国产Partner冠状动脉支架治疗冠心病的疗效及临床随访Long-term outcomes of patients with coronary heart disease treated with domestic sirolimus-eluting Partner coronary stent
霍勇,李占全,何奔,陈绍良,于波,李康,王东琦,傅国胜,王宁夫,马根山,杨志健,王建安,沈向前,齐国先,曲鹏,曹雪滨,马依彤,李保,郑强荪,董平栓,蔡尚郎
摘要(Abstract):
目的评价国产Partner冠状动脉支架治疗冠心病的安全性和疗效。方法回顾性分析在21个心脏中心置入Partner冠状动脉支架的1 352例冠心病患者,观察术后1年内心源性死亡、心肌梗死、靶血管重建率、主要不良心脏事件(MACE)和支架内血栓形成发生率。结果1 352位患者共1 869处病变置入Partner支架。其中,糖尿病患者占23.3%,急性冠状动脉综合征的患者占90.49%,C型病变占30.98%,分叉病变占11.13%,慢性完全闭塞病变占7.81%;靶病变血管平均长度21.99±10.57 mm,病变平均狭窄程度88.18%±10.93%,参考血管直径3.17±1.81 mm,病变最大扩张压力13.77±3.01 atm;使用球囊预扩张的病变占78.12%,球囊后扩张的病变占25.79%。随访结果显示:12个月累积心源性死亡0.52%,心肌梗死0.96%,靶血管重建2.14%,MACE3.62%,数据均在可接受范围内。患者1年累积血栓发生率(0.66%)与其他研究结果类似。结论1年的随访结果表明,国产Partner冠状动脉支架的安全性和有效性良好。
关键词(KeyWords): 血管成形术,经腔,经皮冠状动脉;Partner支架;治疗结果
基金项目(Foundation):
作者(Author): 霍勇,李占全,何奔,陈绍良,于波,李康,王东琦,傅国胜,王宁夫,马根山,杨志健,王建安,沈向前,齐国先,曲鹏,曹雪滨,马依彤,李保,郑强荪,董平栓,蔡尚郎
参考文献(References):
- [1]Holmes DR,Leon MB,Moseset JW,et al.Analysis of 1-yearclinical outcomes in the SIRIUS trial:a randomized trial of asirolimus-eluting stent versus a standard stent in patients at highrisk for coronary restenosis.Circulation,2004,109:634-640.
- [2]Stone GW,Ellis SG,Cox DA,et al.A polymer-based paclitax-el-eluting stent in patients with coronary artery disease.N Engl JMed,2004,350:221-231.
- [3]Stone GW,Stephen G,David A,et al.One-year clinical resultswith the slow-release,polymer-based,paclitaxel-eluting TAXUSstent:the TAXUS-Ⅳtrial.Circulation,2004,109:1942-1947.
- [4]Stone GW,Midei M,Newman W,et al.Comparison of aneverolimus-eluting and a paclitaxel-eluting stent in patients withcoronary artery disease.JAMA,2008,299:1903-1913.
- [5]Iakovou I,Schmidt T,Bonizzoni E,et al.Incidence,predic-tors,and outcome of thrombosis after successful implantation ofdrug-eluting stents.JAMA,2005,293:2126-2130.
- [6]Danenberg H,Shauer A,Gilon D,et al.Very late coronary stentgraft thrombosis after aspirin cessation.Int J Cardiol,2007,120:e15-e17.
- [7]Kotani J,Awata M,Nanto S,et al.Incomplete neointimal cover-age of sirolimus-eluting stents.J Am Coll Cardiol,2006,47:2108-2111.