冠状动脉内支架植入术在复杂性冠状动脉病变中的应用
靳立军,陈传荣,董太明,周颖玲,陈纪言,黄涛
摘要(Abstract):
对12例17处复杂型冠状动脉病变患者施行了冠状动脉内支架植入术.植入Palmatz-Schatz型支架15个,Gianturco-Roubin型支架4个.支架植入成功率100%,无一例出现局部血管急性井发症.1例术后股动脉穿刺部位血肿,2例口服华法令过程中,出现皮肤瘀斑,1例出现肉眼血尿.无其它并发症.1例术后1.5个月冠状动脉造影示,支架部位血流通畅好,无再狭窄发生.10例患者未再发生心绞痛,另2例置入一只支架的多支病变患者劳累性心绞痛发作次数减少,程度明显减轻.
关键词(KeyWords): 冠状动脉内支架;经皮腔内冠状动脉成形术;冠状动脉;冠心病
基金项目(Foundation):
作者(Author): 靳立军,陈传荣,董太明,周颖玲,陈纪言,黄涛
参考文献(References):
- [1]Ryan TJ,Faxon DP,Gunnar RP,et al.Guidelines for percutaneous transluminal coronary angioplasty.JACC,1988,12:529.
- [2]Gruntzig AR.Senning A.Siegenthaler WE.Nonoperative dilation of coronary artery stenosis-Percutaneous Transluminal coronary Angioplasty.N Ergl J Med,1979.301:81.
- [3]Schatz RA,Boim DS.Leon M.et al.Clinical experience with the palmazschatz coronary stent initial results of a multicenter study.Circulation,1991.83:148.
- [4]De Jaegery PP.Hermans WR.Rensing BT.et al.Matching based on quantitative coronary angiography as a surrogate for randomized studies:Comparison between stent implantation and balloon angioplasty of native coronary artery lesions.Am Heart J.1993,125:310.
- [5]Sigwart U,Urban F,Golf S,et al.Emergency stenting for acute occlusion after coronary balloon angioplasty.Circulation,1988,78:1121.
- [6]Escorcia E,Hollman J.Current status of stent.Am J Cardiol,1992,69:687.