地塞米松涂层支架治疗小直径冠状动脉病变的初步研究Clinical evaluation of the dexamethasone coated stent in coronary small vessel disease
陈韵岱,吕树铮,田锐,康铁朵,宁尚秋
摘要(Abstract):
目的 评价以磷酸胆碱为载体的地塞米松涂层支架 (PC MATRIX)治疗小直径冠状动脉病变的临床效果。方法 前瞻性分析了 82例患者 10 6枚小直径支架置入的临床成功率、心脏事件(MACE)及远期疗效。PC MATRIX支架组 4 1例 (支架 5 4枚 ) ,PC支架组 4 1例 (支架 5 2枚 )。结果 两组患者手术成功率均为 10 0 % ,PC MATRIX支架组的MACE率为 9 8% ,PC支架组为 2 2 0 % ;临床再狭窄率分别为 4 9%和 2 3 0 % ;造影再狭窄率分别为 6 2 %和 2 9 7% ,两组间统计学差异有显著性。结论 PC MATRIX支架治疗小直径冠状动脉病变的手术成功率高 ,术中、术后严重的心脏事件发生率低 ,并可能降低冠状动脉小血管病变支架再狭窄发生率。
关键词(KeyWords): 磷酸胆碱;地塞米松;涂层支架;小直径冠状动脉
基金项目(Foundation):
作者(Author): 陈韵岱,吕树铮,田锐,康铁朵,宁尚秋
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