摘要
我院自1986年至今共完成冠脉造影术1000例,自1987年12月至今共开展经皮腔内冠脉成形术(PTCA)165例,扩张血管198支及病变224处。成功率分别为92.7％、93.9％及93.7％。其中复杂 PTCA 52例(31.5％),成功率86.5％。扩张单支血管134例(81％),扩张2支以上血管31例(19％)。5例血管分叉处病变用双球囊技术均获成功。12例完全阻塞病变PTCA成功10例。多支血管PTCA57例,达到完全再通 31例,部分再通 26例。急性心肌梗塞行急诊 PTCA 4例,溶栓后 PTCA47例。3例高危PTCA用自灌注球囊或冠脉血流灌注泵获成功。15例术后复发经造影示再狭窄(RS)14 例,10例再次PTCA成功。此外还有冠脉旋切术5例和支架术1例。并对RS进行临床和实验研究。
We report the result of use of 1000 cases of coronary angiography since 1986 and of 165 cases ofpercutaneous transluminal coronary angioplasty (PTCA) since December 1987.PTCA was performed in 165 patients with coronary heart disease with 198 vessels and 224Iesions dilated. The primary success rate was 92.7% and was 93.9% according to vessels dilated and93.7% according to lesions dilated. Among these 165 cases, there were 52 complex PTCA performed,the success rate was 86.5%. In these 165 cases 134(81%) cases were single vessel and 31(19%) weremultivessel angioplasty kissing balloon technique via a single guiding catheter was employed with suc-cessin 5 patients with bifurcation lesions. In 12 total occlusion cases, PTCA was performed withsuccess in 10. In 57 cases with multivessel PTCA complete revascularization was exhibited in 31and incomplete revascularization in 26 patients. but culprit lesions were successfully dilated for allpatients. Emergent PTCA was performed in 5 acute myocardial infarction. PTCA was performed in 47acute myocardial infarction after thrombolysis (intracoronary in 3 and intravenous in 44 patients). 3high risk PTCA was performed with success using autoperfusion balloon catheters and coronary hemopump perfusion technique. The mean duration of follow-up after PTCA was 14.2 months(1～54 months),symptoms recurred in 15 cases, restenosis in 14 cases confirmed by coronary angiography. RepeatedPTCA was performed with success in 10, Coronary atherectomy in 1, seiective CABG in 1 and conser-vative treatment in 2 cases. During this period, coronary atherectomy has been attempted in 5 casesand stent in 1 case. For the sake of probing the mechanism and prevention of restenosis after PTCA,a good number of clinical and experimental investigations has been done.
出处
《北京医科大学学报》
CSCD
1992年第4期301-304,共4页
Journal of Peking University(Health Sciences)
关键词
冠心病
腔内成形术
造影术
Coronary heart disease
Angioplasty
Angiography
