摘要
目的探讨应用小Ｃ臂Ｘ光机（ＯＥＣ）行经皮冠状动脉腔内成形术（ＰＴＣＡ）和冠状动脉内支架植入术的可行性。方法１３４例冠心病患者造影显示冠状动脉狭窄程度均≥７５％，采用美国ＯＥＣ９６００型小Ｃ臂Ｘ光机行ＰＴＣＡ和冠状动脉内支架置入术。结果１３４例冠心病患者共２０４处病变成功地完成了ＰＴＣＡ，其中９２例置入了１０６枚冠脉内支架，６例因多支冠脉病变分别置入２～３枚支架，术后冠脉造影显示管腔扩张满意，无残余狭窄。全部病例术后心绞痛症状较术前明显减轻或消失。除１例在支架置入术后发生急性血栓形成和３例出现术后穿刺部血肿外，无其它并发症发生。结论对冠心病患者应用小Ｃ臂Ｘ光机行ＰＴＣＡ和冠脉内支架置入术可能是一种安全有效的治疗方法。
Objective To evaluate the possibility of percutaneous transluminal coronary angioplasty (PTCA) and intracoronary stenting by using the mobile digital imaging system (OEC9600) Methods The coronary angiography of 134 patients with coronary heart disease showed that the stenosis of artery in all patients were ≥75% Then PTCA and intracoronary stenting were performed in all these patienes with OEC9600 Results PTCA were successful performed in all 134 patients with 204 lesions, and 106 coronary stents were implanted in 92 patients, 6 patients with multiple lesions were implanted 2 3 stents each Immediately after the procedure, satisfactory angiographic results were obtained, no residual stenosis exists, and chest pain was relieved or disappeared in all cases No major complication occured except for accute stent thrombosis in 1 case and groin hemotoma in 3 cases Conclusion PTCA and Intracoronary stenting with OEC9600 is a safe and effective management for coronary heart disease
出处
《中国介入心脏病学杂志》
1999年第2期71-72,共2页
Chinese Journal of Interventional Cardiology
