温尚煜,于宏颖,孙志奇,王柏颖,王满庆,黎辉

• 1:大庆油田总医院心内科

摘要(Abstract)：

目的评价旋磨术在冠状动脉钙化分叉病变治疗中的作用。方法选择2006年7月至2013年1月大庆油田总医院旋磨治疗冠状动脉分叉病变患者48例,术后观察冠状动脉造影和治疗结果、住院期间和12个月的主要不良心血管事件(包括心源性死亡、介入治疗相关心肌梗死和靶血管再次血运重建)以及心绞痛的发生情况。结果 43例(89.6%)只旋磨主支,4例(8.3%)同时旋磨主支和边支,1例(2.1%)只旋磨边支。1例旋磨术中发生急性闭塞,1例旋磨术中出现慢血流;43例(89.6%)只在主支置入支架,4例(8.3%)采用双支架术,1例(2.1%)只在边支置入支架。主支置入支架后3例边支发生急性闭塞,1例边支次全闭塞,边支闭塞后球囊扩张边支,血流均恢复TIMIⅢ级。住院期间无死亡和靶血管再次血运重建病例,共有6例(12.5%)发生介入治疗相关心肌梗死。术后12个月随访1例非心源性死亡,1例靶血管再次血运重建,无心源性死亡、心肌梗死病例。结论经皮冠状动脉内旋磨术是治疗分叉病变的安全、有效方法。

关键词(KeyWords)： 旋磨术;冠脉介入治疗;分叉病变;钙化病变

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 温尚煜,于宏颖,孙志奇,王柏颖,王满庆,黎辉

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