摘要
目的 探讨广泛应用冠状动脉内支架植入术的近期疗效 .方法 回顾性分析 1996 - 1/ 1999- 12我院连续进行的384例冠状动脉内支架植入术的临床资料 .其中急性心肌梗死 15 0例 ,不稳定性心绞痛 12 2例 ;多支及左主干病变 2 2 6例 .围术期联合应用阿斯匹林、噻氯匹啶、低分子肝素抗血栓治疗 .结果 病变 5 6 1处尝试植入支架 6 14个 .病例成功率98.7% ,病变成功率 98.4% .严重并发症发生率 1.6 % ,其中死亡率 0 .8% ,支架血栓发生率 0 .8% ;局部血管并发症发生率 2 .6 % .结论 支架植入术治疗冠心病的近期疗效良好 ,联合应用阿斯匹林、噻氯匹啶、低分子肝素抗血栓治疗 ,支架血栓。
AIM To assess the short-term effects of coronary stenting in a widespread spectrum of patients with coronary artery disease. METHODS The data of 384 consecutive patients with coronary stenting from 1996 through 1999 were retrospectively analyzed. There were 150 cases with acute myocardial infarction,122 with unstable angina, and 226 with multiple vessel or left main trunk disease. Aspirin, ticlopidine, and low molecular weight heparin were used as anti-thrombotic regimen. RESULTS Six hundred and fourteen stents were attempted to place in 561 lesions. The success rate for patients and lesions was 98.7% and 98.4% respectively. The incidence rate of major complications was 1.6%, including mortality, 0.8%; in-stent thrombosis, 0.8%. The incidence rate of vascular complications at access site was 2.6%. CONCLUSION Coronary stenting can gain good results in the wide spectrum of patients with coronary artery disease. Aspirin, ticlopidine, and low molecular weight heparin can be used as excellent anti-thrombotic regimen.
出处
《第四军医大学学报》
2000年第12期1519-1521,共3页
Journal of the Fourth Military Medical University
