杨帮国,张紫微,尹晓梅,蔡文峰,白洁

• 1:云南省阜外心血管病医院心内科

摘要(Abstract)：

对于冠状动脉血栓负荷重的患者，当常规手段仍无法恢复理想血流时，准分子激光冠状动脉成形术（ELCA）可作为经皮冠状动脉介入治疗（PCI）的重要辅助手段，其可减少术中慢血流或无复流的发生，提升冠状动脉心肌梗死溶栓治疗试验（TIMI）血流分级，改善心肌灌注，具有较高的即刻成功率和临床成功率。本文报道3例右冠状动脉大量血栓患者使用ELCA联合血栓抽吸，均成功开通血管，血栓负荷明显减少，均获得良好的即刻效果及临床效果，治疗过程中均未发生血管穿孔、心脏压塞等并发症。

关键词(KeyWords)： 准分子激光冠状动脉成形术;血栓抽吸;急性心肌梗死;血栓

Abstract:

Keywords:

基金项目(Foundation): 云南省心血管病临床医学中心项目（202002AA310100-07）

作者(Author): 杨帮国,张紫微,尹晓梅,蔡文峰,白洁

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