直接冠状动脉内支架术治疗急性心肌梗塞Initial experience of primary stenting in acute myocardial infarction in chinese
贾三庆,胡大一,李田昌,张建军,陈方,王乐丰,杨明,王明生
摘要(Abstract)：
目的 评价冠状动脉内支架术治疗急性心肌梗塞的安全性和有效性。方法 2 8例发病在1 5～ 6 5小时的AMI患者行直接PTCA术 ,其中 2 2例置入冠状动脉内支架 ,成功率 1 0 0 %。梗塞相关血管 (IRA)的TIMI 3级血流恢复率 96 4 % ,无住院死亡。 2例合并出血 ,2例术后急性左心衰。 1 8例术后出院前重复冠脉造影示IRA无血栓形成。术后随访 1 0 1 6个月 ,3例因多支病变再次行PTCA术 ,5例 ( 1 7 8% )复发心绞痛 ,无死亡病例。结论 AMI的直接冠脉内支架术是安全有效的 ,可以改善病人的近期和远期预后。
关键词(KeyWords)： 心肌梗塞;支架;血管成形术,经皮,经腔
基金项目(Foundation):
作者(Author): 贾三庆,胡大一,李田昌,张建军,陈方,王乐丰,杨明,王明生
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