摘要
目的探讨氮氧化钛涂层支架(TITAN2)在老年经桡/尺动脉途径行冠状动脉血运重建方面的临床治疗效果。方法共入选29例冠心病患者,男16例,女13例。均采用经桡动脉或尺动脉途径行冠脉血运重建。计算TITAN2支架病变的通过率、早期支架内血栓发生率及随访主要不良心脏事件(死亡、急性心肌梗死、再次血运重建)发生率。结果29例冠状动脉造影发现43处>75%狭窄病变,植入支架42枚,1枚支架未能通过病变(右冠状动脉),通过率97.7%。植入支架后无残余狭窄、支架脱载、内膜撕裂、支架内早期血栓形成及冠脉破裂。随访1～5个月,无主要心脏不良事件发生。结论TITAN2支架在老年冠脉血运重建方面临床应用效果良好。
Objective To investigate the use of titaniurn-nitride-oxide-coated stent （TITAN2） implanted in transulner or transradial approach for coronary revascularization in elderly patients with coronary heart disease（CHO）. Methods Twentynine CHD patients（16 males and 13 females）who were about to undergo coronary revascularization were selected. All patients underwent coronary revascularization in trans-ulner or transradial approach. The passing rate of stent, early thrombosis in stent, and major adverse cardiac events（MACE） during 1-5 month follow-up were recorded. Results Coronary angiography revealed 43 lesions with stenosis 〉75 % in 29 patients. Forty-two lesions were successfully revascularized by TITAN2. There was one failure in passing right coronary artery. The passing rate of stent was 97.7%. Remaining stenosis, stent dislocation, endarterium disection, early thrombosis in stent, and coronary rupture were not discovered after stent. No MACE was found during 1-5 month follow-up. Conclusion TITAN2 has significant efficacy on coronary revascularization in elderly CHD patients.
出处
《中华老年多器官疾病杂志》
2009年第5期436-438,共3页
Chinese Journal of Multiple Organ Diseases in the Elderly
