冠状动脉支架再狭窄的介入治疗及疗效观察Immediate and long-term outcomes of repeat percutaneous intervention for stent restenosis in 35 patients
李成祥,贾国良,郭文怡,李伟杰,王小燕
摘要(Abstract)：
目的 评价冠状动脉支架再狭窄的介入治疗疗效。方法 冠状动脉内再狭窄 35例 ,其中 2 8例 (80 % )行单纯经皮冠状动脉腔内成形术 (PTCA) ,5例 (14 3% )行PTCA +支架 ,2例 (5 7% )行旋磨 +PTCA。临床随诊 (2 1 9± 10 6 )个月 (4～ 5 3个月 )。结果 33例 (94 3% )重复介入治疗成功 ,无一例发生严重并发症。随诊期间 ,6例重复介入治疗成功者 (18 2 % )心绞痛复发 ,其中 2例 (6 1% )行冠状动脉旁路移植术 ,无一例发生死亡或心肌梗死。心绞痛复发组支架再狭窄程度显著高于未复发组 (86 2± 2 0 2 ) %vs (6 5 3± 15 8) % ,P <0 0 5。结论 冠状动脉支架再狭窄的介入治疗近期、远期疗效良好。
关键词(KeyWords)： 冠状动脉疾病;血管成形术,经皮,经腔;支架
基金项目(Foundation):
作者(Author): 李成祥,贾国良,郭文怡,李伟杰,王小燕
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