摘要
目的：探讨国人冠状动脉支架置入术效果。方法：回顾性分析１９９２ 年１０ 月至１９９９ 年６ 月我院连续进行的冠状动脉内支架置入术１ ０００ 例，其中单支病变６４０ 例，双支病变３１４ 例，三支病变４２ 例，左主干病变４ 例。结果：在１ ２８８ 处病变共置入支架１ ４２５ 只。在未经介入治疗的病变置入支架（ＤｅＮｏｖｏｓｔｅｎｔｉｎｇ）９２８ 只，经皮冠状动脉腔内成形术（ＰＴＣＡ） 结果不理想置入支架４０４ 只，ＰＴＣＡ 并发夹层、急性闭塞或濒临闭塞置入支架（Ｂａｉｌｏｕｔｓｔｅｎｔｉｎｇ）５４ 只，在再狭窄病变置入支架３９ 只。置入支架平均直径３－００ ±０－３７ ｍｍ ，平均长度１７－０５ ±５－６３ ｍｍ 。该１ ０００ 例中９９８ 例（９９－８ ％ ） 支架成功地置入靶病变部位，术前病变平均直径狭窄（８８－５ ±２２－１） ％ ，术后残余直径狭窄（０－９ ±５－５） ％ 。重要并发症包括术中急性血栓形成４ 例（０－４ ％ ） 、急性心肌梗塞６ 例（０－６％ ） 、在Ｂａｉｌｏｕｔｓｔｅｎｔｉｎｇ 过程中死亡１ 例（０－１ ％ ） 。Ｂａｉｌｏｕｔｓｔｅｎｔｉｎｇ 患者重要并发症发生率１４－３％ ，明显高于选择性置入支架者（０－５％ ，Ｐ＜ ０－０１?
Objective: To approach the results of coronary stenting in Chinese patients Methods: The clinical and angiographic results after coronary stenting in a consecutive 1 000 Chinese patients treated in this institution from October 1992 to 1st, June 1999 were retrospectively analysed There was single vessel disease in 640 cases, double vessel disease in 314 cases, triple vessel disease in 42 cases, and left main artery disease in 4 cases Results: One thousand four hundred twenty five stents were implanted into 1 288 lesions, including 928 stents for DeNovo stenting, 404 stents implanted due to suboptimal results after balloon angioplasty, 39 stents implanted in restenotic lesions, and 54 stents for bail out stenting in 42 patients The mean diameter stenosis before angioplasty was of (88 5±22 1)%, residual stenosis following stenting was (0 9±5 5)% The major complications included acute thrombosis during procedures in 4 cases (0 4%), acute myocardial infarction in 6 (0 6%) and death in 1 (0 1%) occurred during bail out stenting The incidence of major complication in patients with bail out stenting (14 3%) was significantly higher than that in patients with elective stenting (0 5%, p <0 01) Conclusion: Coronary stenting can obtain good angiographic and clinical results in this group of Chinese patients The incidence of major complication was low, which mainly developed in patients with bail out stenting
出处
《中国循环杂志》
CSCD
北大核心
1999年第A09期1-3,共3页
Chinese Circulation Journal
