冠状动脉造影后即刻PTCA与择期PTCA的比较Percutaneous transluminal coronary angioplasty immediately after coronary angiography compared with selective coronary angioplasty
洪涛,朱国英,高炜,霍勇,刘梅林,邢德智
摘要(Abstract)：
目的 研究冠状动脉造影后即刻冠状动脉成形术的成功率及并发症率进而探讨其临床应用价值。方法 对冠状动脉造影后即刻冠脉成形术及靶病变特点与其相似的择期冠脉成形术各７０ 例进行对比分析。结果 Ａ 和Ｂ型病变的成功率和并发症率两组间差异无显著性，Ｃ型病变的成功率即刻组低于择期组（５７．１４％ 对９２．８６％ ，Ｐ＜ ０．０５）而并发症率高于择期组（５７．１４％ 对１４．２９％ ，Ｐ＜ ０．０１），闭塞性病变的成功率及并发症率两组间差异无显著性。结论 Ｃ型病变不宜于造影后即刻行冠脉成形术。闭塞性病变可于造影后即刻试行冠脉成形以避免次全闭塞进展为完全闭塞后才进行手术。造影后即刻冠脉成形有一定的临床应用价值
关键词(KeyWords)： 冠状动脉造影;冠状动脉成形术,经皮,经腔
基金项目(Foundation):
作者(Author): 洪涛,朱国英,高炜,霍勇,刘梅林,邢德智
参考文献(References)：
- 1 Ryan TJ, Faxon DP, GunnarRM, etal. Guidelinesforpercutaneous translum inal coronary angioplasty. Areportof the Am erican College ofCardiology/Am ericanHeart Association Task Force on Assessm ent ofDiagnostic and Therapeutic Cardiovascular Procedures.Circulation, 1988,78:486-490.
- 2 Gruentzig AR. Translum inal dilatation of coronaryartery stenosis. Lancet, 1978,1:263-266.
- 3 O′Keefe JH, Gernon C, McCallister BD, et al. Safetyand costeffectiveness ofcom bined coronary angiographyand angioplasty. Am HeartJ, 1991,122:50-54.
- 4 Feldm an RL, Macdonald RG, HillJA, etal. Coronaryangioplasty atthe tim e ofinitialcardiac catheterization.CathetCardiovascDiagn, 1986,12:219-223.
- 5 Rozenm an Y, Gilon D, Zelingher J, et al. One-stagecoronary angiography and angioplasty. Am JCardiol,1995,75:30-32.
- 6 O′Keefe JH, Reeder GS, Miller GA, et al. Safety andefficacy of percutaneous transluminal coronaryangioplasty perform ed at the tim e of diagnosticcatheterization com pared w ith that performed at othertimes. Am JCardiol, 1989,63:27-30.
- 7 高炜,霍勇,朱国英.择期与即期PTCA 的适应症选择、临床疗效及并发症比较.临床内科杂志,1997,14:5-6