摘要
目的 本研究评价直接支架术治疗急性冠脉综合征的成功率、病变选择特征及并发症的发生情况。方法 92例急性心梗和不稳定心绞痛患者分为直接支架植入组 (32例 )和球囊预扩后植入支架组 (常规支架植入组 ,6 0例 ) ,比较两组一般临床资料、靶血管造影特征、操作成功率及并发症。结果 直接支架组年龄较常规支架治疗组小 (5 3 14± 9 18vs 6 4 2 8± 12 36 ,P <0 0 1) ,罪犯血管A型和B1型病变占病变率明显高于常规支架治疗组 (79%vs 45 % ,P <0 0 1) ,操作时间直接支架组明显短于常规支架组 (19 16± 10 2 8vs 2 7 2 9± 7 6 9,P <0 0 1) ,操作成功及并发症发生率两组无明显差异。结论 A型及B1型病变为主的急性冠脉综合征病人 ,选择直接支架植入术治疗 ,操作时间短 。
Objective The aim of this study was to asses the success rate, lesion characteristics and complication in acute coronary syndromes treated by direct coronary stenting Methods 92 patients with acute myocardial infarction and unstable angina were divided into the direct stenting ( n =32) and stent implantation with balloon predilatation (conventional stenting, n =60) groups The clinical data, characteristics of target vessels ,success rate and complications were compared between two groups Results The age in direct stenting groups was much younger than that in conventional stenting group (53 14±9 18 vs, 64 28±12 36, P <0 01) The A and B1 lesion rate in culprit vessels in direct group was significant higher than that in conventional group (79% vs 45%, P <0 01) Procedural time in former was much shorter than that in later The procedural success and complications did not differ significantly between the two groups Conclusion Direct stenting can shorten the procedure time, which possesses similar success rate and complications compared with stent implantation with predilatation in acute coronary syndrome with A and B1 lesions
出处
《中国介入心脏病学杂志》
2001年第B12期24-26,共3页
Chinese Journal of Interventional Cardiology
