赵慧强,陈旭,刘洪阳,周海新,王东兴,高翔宇,丁晓松,梁思文,周力,王刚,刘锐锋,邱惠,刘奇

• 1:首都医科大学附属北京友谊医院心内科
• 2:首都医科大学附属北京友谊医院神经医学中心
• 3:首都医科大学附属北京友谊医院放射介入导管室

摘要(Abstract)：

目的探索对冠心病合并缺血性脑血管病患者行一站式介入治疗的可行性。方法对首都医科大学附属北京友谊医院通州院区2019年2月至2020年1月收治的符合条件的冠心病合并缺血性脑血管病患者进行一站式心脑血管造影检查,然后经心血管和脑血管介入团队共同讨论决定介入治疗策略和方案,完成介入治疗。分析所有患者的临床资料、手术资料、随访结果。主要终点是院内和随访期内主要不良心脑血管事件(包括死亡、心肌梗死和卒中的复合事件)发生率。次要终点是主要终点中的任何一个(心肌梗死、卒中、死亡)及对比剂肾病、再入院。结果共入组30例患者,全部行一站式造影检查。其中,19例行经皮冠状动脉介入治疗,18例行脑血管介入治疗,包括13例同时行经皮冠状动脉和脑血管介入治疗者。共计一站式介入手术41次,其中一站式完成冠状动脉和脑血管介入治疗13次。所有患者治疗手术成功率为100%,住院期间和随访1～12个月内无主要不良心脑血管事件发生。2例患者再入院,包括1例股动脉并发症和1例肺部感染,均经治疗好转出院。结论一站式完成心脑血管介入治疗的模式可行,有较好的有效性和安全性,在有条件的医院可以推广开展。

关键词(KeyWords)： 冠心病;缺血性脑血管病;经皮冠状动脉介入治疗;颈动脉支架术;一站式手术

Abstract:

Keywords:

基金项目(Foundation): 北京首都健康保障培育项目（Z181100001618001）

作者(Author): 赵慧强,陈旭,刘洪阳,周海新,王东兴,高翔宇,丁晓松,梁思文,周力,王刚,刘锐锋,邱惠,刘奇

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