摘要
为评价冠状动脉支架植入的疗效 ,对 1996年 12月至 1999年 7月间我院接受冠状动脉支架植入手术的 48例冠心病患者进行了回顾性分析。结果 :48例患者中有 47例成功植入冠状动脉支架 ,成功率 97.9% ,在 74支病变血管中共植入支架 83个 (Multilink支架 49个 ,AVE支架 34个 )。术中支架内血栓形成 1例 ,2支病变血管在球囊预扩张时血管夹层形成。随访 3～ 34月 ,术后因急性冠状动脉闭塞死亡 1例 ,急性消化道出血 1例 ,心绞痛复发 1例 (经冠状动脉造影证实为再狭窄 ) ,其余患者无胸痛发作。上述结果表明 ,冠状动脉支架植入术成功率高 ,能有效改善冠心病患者的症状 ,是治疗冠心病的有效手段之一。
The objective of this study was to evaluate the clinical applications of coronary stent implantation. The data on 48 coronary artery disease patients(mean age 56.5±8.1yrs, male 39 cases, female 9 cases) who underwent coronary sent implementation in our hospital from Dec.1996 to July 1997 were analyzed. Among the patients, 41 had stable angina, 5 unstable angina, and 2 acute myocardial infarction. Most of the coronary lesions were of type B and type C, amounting to 74.3%. The results showed that totally 83 stents(Multilink 49, AVE 34) were deployed in 74 lesions with a successful rate of 97.9%. There were 1 case of intrastent thrombosis and 2 cases of coronary dissection during the operation, and 1 case of postoperative death due to acute coronary occlusion and gastrointestinal tract bleeding. During the follow up of 3 34 months, 1 patient had recurrent angina and restenosis confirmed by angiography; the others had no coronary events. These data indicate that coronary stent implantation is an effective therapy for coronary artery patients.
出处
《华西医科大学学报》
CSCD
2000年第4期550-552,共3页
Journal of West China University of Medical Sciences
