摘要
目的:评价经桡动脉途径应用Balloon Crush技术处理冠脉分叉病变的临床效果及安全性。方法:本研究入选的57例Ⅰ型冠脉分叉病变患者中,22例患者经桡动脉途径选用Balloon Crush技术处理(Balloon Crush组),另35例患者选择标准Crush技术处理(标准Crush组),观察两组患者的手术成功率、最终球囊对吻扩张的完成情况、手术时间、造影剂用量以及随访6个月时严重心脏不良事件的发生率。结果:Balloon Crush组患者全部经桡动脉途径成功接受冠脉介入治疗,其中Balloon Crush组患者完成最终球囊对吻扩张的成功率为91.0%;标准Crush组患者成功率为77.1%,25.7%的患者因无法经桡动脉途径完成操作而改为股动脉途径;术后6个月Balloon Crush组患者严重心脏不良事件的发生率为9.1%,标准Crush组发生率为17.1%,两组间无显著性差异;在手术时间及造影剂用量上,两组间差异无统计学意义。结论:Balloon Crush技术适用于桡动脉途径冠脉分叉病变的处理,且具有较好的临床效果和安全性。
Objective To evaluate the efficacy and safety of balloon crush technique used in tram-radial coronary intervention for bifurcation coronary lesion. Methods Fifty-seven patients with type I coronary bifurcation lesion were recruited in this study,22 cases received tram-radial balloon crush technique（ balloon crush group）, another 35 cases received standard crush technique（ standard crush group）. The success rate of operation, the rate of final kissing balloon post-dilatation after stenting,operation duration,the volume of contrast agent and the incidence of major adverse cardiac events （MACE） when followed up for 6 months were all recorded. Results In balloon crush group, all patients received coronary intervention therapy by trans-radial approach successfully and the rate of final kissing balloon post-dilatation after stenting was 91.0% ; in standard crush group the success rate was 77.1% ,25.7% patients that unable to perform operation by tram-radial approach received operation by femoral artery approach instead; after 6 months, the incidence of MACE was 9. 1% in balloon crush group,and it was 17.1% in standard crush group,there were no significant difference in the MACE incidence,operation du- ration and the volume of contrast agent between two groups. Conclusion Balloon crush technique may be suitable for treating coronary bifurcation lesions by tram-radial approach with its good clinical efficiacy and safety.
出处
《郧阳医学院学报》
2009年第3期205-207,共3页
Journal of Yunyang Medical College
关键词
经皮冠脉介入治疗
桡动脉
分叉病变
Pereutaneous coronary intervemtion
Radial artery
Bifurcation lesion
