摘要
目的 :提高对冠状动脉内支架植入术中并发症的认识及处理水平。方法 :自 1 996年 1月至1 999年 1 2月对 1 6 7例冠心病患者 2 0 2支血管行冠状动脉介入治疗 ,共植入支架 1 81个 ,支架植入成功率 99.4% (1 80 /1 81 )。结果 :术中共发生并发症 1 9例次 ,发生率为 1 0 .5% (1 9/1 81 )。 1 0例支架植入后 ,出现支架近端或远端正常血管严重痉挛 ,经反复冠脉内给硝酸甘油或舌下含服硝苯地平胶囊后改善。 6例次支架植入后造成病变近端和 /或远端正常血管撕裂 ,其中远端血管急性闭塞和夹层形成各 1例 ,需植入第 2个支架 ,1例经球囊低压粘贴 1 2 0 s,病灶明显改善。支架扩张不完全和斑块塌陷各 1例。支架定位不良 1例。结论 :冠状动脉内支架用于冠心病治疗有较高的成功率和较好的临床效果 ,但也有一些并发症发生 ,如处理不当可导致严重后果甚至死亡 。
Objective:To analyse the possible complications of intracoronary stenting and to in- crease the ability of recognition and management of intracoronary stenting.Methods:From Jan- uary1 996 to December1 999,1 6 7patients of2 0 2 vessels were treated using intracoronary inter- vention.A total of1 81 stents were attempted,with a procedure success rate of99.4% (1 80 / 1 81 ) .Results:Complications occurred in1 9cases(1 0 .5% ) .The most important complications were vascular dissection(occurring in6 ) and severe vascular spasm (occurring in 1 0 ) .Other complications included Plaque prolapse,stents incomplete expansion and misplace.Conclusion: Although intracoronary stents can be implanted successfully with a prominent clinical efficacy, some complication may occur with severe clinical outcome and special attention mustbe paid.
出处
《浙江大学学报（医学版）》
CAS
CSCD
2001年第4期170-172,共3页
Journal of Zhejiang University(Medical Sciences)
关键词
冠状动脉疾病
血管成形术
手术后并发症
CASI
Coronary disease/surg
Angioplasty,transluminal percutaneous coronary
Post-operative complication
Stents
