直接支架术治疗急性冠状动脉综合征Coronary stenting without predilatation in acute coronary syndromes
黄岚,宋耀明,李隆贵,李爱民,耿召华,周小波,何作云,林春梅
摘要(Abstract)：
目的 本研究评价直接支架术治疗急性冠脉综合征的成功率、病变选择特征及并发症的发生情况。方法 92例急性心梗和不稳定心绞痛患者分为直接支架植入组 (32例 )和球囊预扩后植入支架组 (常规支架植入组 ,6 0例 ) ,比较两组一般临床资料、靶血管造影特征、操作成功率及并发症。结果 直接支架组年龄较常规支架治疗组小 (5 3 14± 9 18vs 6 4 2 8± 12 36 ,P <0 0 1) ,罪犯血管A型和B1型病变占病变率明显高于常规支架治疗组 (79%vs 45 % ,P <0 0 1) ,操作时间直接支架组明显短于常规支架组 (19 16± 10 2 8vs 2 7 2 9± 7 6 9,P <0 0 1) ,操作成功及并发症发生率两组无明显差异。结论 A型及B1型病变为主的急性冠脉综合征病人 ,选择直接支架植入术治疗 ,操作时间短 ,而成功率及并发症的发生与常规支架治疗组无明显差异
关键词(KeyWords)： 急性冠脉综合征;直接支架术;靶血管
基金项目(Foundation):
作者(Author): 黄岚,宋耀明,李隆贵,李爱民,耿召华,周小波,何作云,林春梅
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