切割球囊冠状动脉腔内成形术102例Preliminary clinical experience of cutting balloon coronary angioplasty
李伟杰,贾国良,郭文怡,李成祥,吕安林,栾荣华,王晓燕
摘要(Abstract)：
目的 应用切割球囊行冠状动脉腔内成形术并对其疗效进行评价。方法 对 10 2例冠心病患者的 116处病变行切割球囊扩张治疗 ,对其进行分析 ,并短期随访。结果 116处病变血管直接切割球囊扩张治疗 ,成功率 94 %,结合普通小球囊预扩张后其成功率为 97%。 16例支架内再狭窄均扩张成功。 116处病变切割球囊扩张后安放支架 72个 (支架安放率 6 2 %) ,4 4例单纯行切割球囊扩张术者残余狭窄为 0～ 2 0 %[平均为 (11 6± 5 9) %]。 1例患者术后出现心包填塞 ,1例发生严重内膜撕裂。无急性闭塞、急诊冠状动脉旁路移植手术及急性心肌梗死发生。随访 1～ 2 0月 (平均 11 2月 ) ,10 (9 8%)例患者于术后出现心绞痛。其他患者随访期间无心脏事件发生。 12例病人复查冠脉造影 ,其中 3例发生再狭窄。结论 切割球囊行冠状动脉腔内成形术安全、有效 ,短期疗效良好。
关键词(KeyWords)： 切割球囊;冠状动脉成形术
基金项目(Foundation):
作者(Author): 李伟杰,贾国良,郭文怡,李成祥,吕安林,栾荣华,王晓燕
参考文献(References)：
- 1KondoT ,KawaguchiK ,AwajiY ,etal.Immediateandchronicresultsofcuttingballoonangioplasty:amatchedcomparisonwithconventionalangioplasty.ClinCardiol,1997,20:459463.
- 2WallerBF .“Crackers,breakers,stretchers,drillers,scrapers,shavers,burners,weldersandmelters”—thefuturetreatmentofatheroscleroticcoronaryarterydisease?Aclinical morphologicassessment.JAmCollCardiol,1989,13:969987.
- 3BarathP ,FishbeinMC ,VariS ,etal.Cuttingballoon:anovelapproachtopercutaneousangioplasty.AmJCardiol,1991,68:12491252.
- 4BertrandOF ,BonanR ,BilodeauL ,etal.Managementofresistantcoronarylesionsbythecuttingballooncatheter:initialexperience.CathetCardiovascDiagn,1997,41:179184.
- 5AsakuraY ,FurukawaY ,IshikawaS ,etal.Successfulpredilationofaresistant,heavilycalcifiedlesionwithcuttingballoonforcoronarystenting:acasereport.CathetCardiovascDiagn,1998,44:420422.
- 6MuramatsuT ,TsukaharaR ,HoM ,etal.Efficacyofcuttingballoonangioplastyforlesionsattheostiumofthecoronaryarteries.JInvasiveCardiol,1999,11:201206.
- 7ErgeneO ,SeyithanogluBY ,TastanA ,etal.ComparisonofangiographicandclinicaloutcomeaftercuttingballoonandconventionalBalloonangioplastyinvesselssmallerthan3mmindiameter:Arandomizedtrial.JInvasiveCardiol,1998,10:7075.
- 8MartiV ,SalasE ,AymatRM ,etal.Influenceofresidualstenosisindeterminingrestenosisaftercuttingballoonangioplasty.CatheterCardiovascInterv,2000,49:410414.
- 9AdamianM ,ColomboA ,BriguoriC ,etal.Cuttingballoonangioplastyforthetreatmentofin stentrestenosis:amatchedcomparisonwithrotationalatherectomy,additionalstentimplantationandballoonangioplasty.JAmCollCardiol,2001,38:672679.
- 10RuygrokPN ,WebsterMW ,deValkV ,etal.Clinicalandangiographicfactorsassociatedwithasymptomaticrestenosisafterpercutaneouscoronaryintervention.Circulation,2001,104:22892294.