摘要
经皮冠状动脉介入治疗作为有创性的操作,术中及术后可能发生血管性并发症,如急性冠状动脉狭窄或闭塞、穿孔和心脏压塞、冠脉无再流现象、穿刺产生的血栓、血肿或假性动脉瘤、动-静脉瘘以及非血管性并发症(如低血压、急性冠脉痉挛、心室纤颤、血管迷走反射和造影剂肾病)等。并发症一旦发生,不但严重影响手术的效果,甚至直接导致手术的失败。目前对上述并发症的防治虽然取得不少进展,但这些并发症仍然是影响经皮冠状动脉介入治疗疗效的关键因素之一。
As an invasive operation,percutaneous coronary intervention（PCI）can cause a variety of clinical complications during intraoperative and postoperative period,such as acute coronary stenosis or occlusion,perforation and cardiac tamponade,no reflow of coronary artery,thrombus,hematoma,pseudoaneurysm and arteriovenous fistula;and non-vascular complications（such as hypotension,acute coronary artery spasm,ventricular fibrillation,vasovagal reflex and radiographic contrast nephropathy）.The occurrence of these complications would seriously affect the surgical results,even induce a treatment failure.Although measures of preventing and treating these complications have been improved remarkably,efficacy of PCI is mainly impacted by these complications.
出处
《医学综述》
2010年第4期574-576,共3页
Medical Recapitulate
关键词
冠状动脉介入治疗
冠心病
并发症
Coronary intervention
Coronary heart disease
Complication
