崔锦钢,田涛,管浩,王天杰,胡奉环,杨伟宪,袁建松,吴永健,杨跃进,乔树宾

• 1:国家心血管病中心北京协和医学院中国医学科学院阜外医院冠心病中心

摘要(Abstract)：

目的探讨使用非顺应性球囊高压扩张对常规半顺应性球囊不能扩张的冠状动脉病变的治疗效果,评估非顺应性球囊高压扩张对于部分不能扩张病变的安全性和有效性。方法回顾性分析2016年1月至2019年12月中国医学科学院阜外医院冠心病中心收治的36例常规半顺应性球囊不能充分扩张的冠状动脉狭窄病变的患者,首选非顺应性球囊高压扩张处理,观察手术成功率及并发症发生率,并随访住院期间主要不良心脑血管事件。结果 36例患者中,使用高压非顺应性球囊扩张后,25例(69.4%)达到了病变充分扩张,随后顺利置入支架(3例为支架术后膨胀不全再狭窄患者);5例(13.9%)经旋磨治疗后使用顺应性球囊高压扩张后管腔扩张成功;1例(2.8%)旋磨后使用非顺应性球囊高压仍不能扩张病变;2例(5.6%)旋磨后常规半顺应性球囊仍不能充分扩张病变,经高压扩张最终置入支架;2例(5.6%)由于血管钙化迂曲非顺应性球囊不能到达病变处,旋磨后仍不能通过非顺应性球囊,仅适用半顺应性小球囊扩张病变;1例(2.8%)经高压球囊扩张后置入支架发现病变仍未充分扩张,使用非顺应性球囊高压扩张仍未成功,建议术后予加强抗血小板治疗。所有患者无血管穿孔等并发症及不良心脑血管事件发生。结论采用非顺应性球囊高压扩张常规球囊不能扩张的病变,为此类病变的预处理提供了简便有效的策略选择。

关键词(KeyWords)： 冠状动脉病变;非顺应性球囊;经皮冠状动脉介入治疗

Abstract:

Keywords:

基金项目(Foundation): 国家重点研发计划(2020YFC1107200)

作者(Author): 崔锦钢,田涛,管浩,王天杰,胡奉环,杨伟宪,袁建松,吴永健,杨跃进,乔树宾

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