冠状动脉旁路移植术后病变桥血管的介入治疗Percutaneous intervention of diseased grafts in post-CABG patients
郭金成,Dick RON,马长生
摘要(Abstract)：
目的探讨冠状动脉旁路移植(CABG)术后移植血管病变介入治疗的效果。方法对CABG术后旁路移植血管的病变进行介入治疗。术后即刻进入临床随访,记录心脏事件的发生,患者术后6个月复查造影。结果对66例患者的74支病变桥血管(83处病变)进行了介入治疗,造影成功率为96.97%(64/66),临床成功率95.45%(63/66)。术中出现无复流现象2例,1例经处理恢复血流,1例处理无效。远端栓塞1例,D型夹层造成血管急性闭塞1例,重新置入支架后成功。住院期间无心脏事件发生。64例患者完成6个月的临床随访,心脏事件发生率为31.3%(20/64)。37例患者接受了造影检查,支架内再狭窄发生率为32.5%(13/40)。结论桥血管病变的介入治疗是可行、安全和有效的。
关键词(KeyWords)： 血管成形术,经腔,经皮冠状动脉;冠状动脉分流术;冠状动脉疾病
基金项目(Foundation):
作者(Author): 郭金成,Dick RON,马长生
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