摘要
目的 :观察冠状动脉旋磨术对慢性闭塞性冠状动脉病变治疗的有效性。方法 :对 14例患者 14支慢性闭塞性冠状动脉 (闭塞时间 ) 1个月 )实施冠状动脉旋磨术 ,成功后给予低压球囊扩张术 ,据造影结果决定是否安装支架。术后持续滴注肝素 72小时 ,并口服阿司匹林及抵克力得。随访 1年。结果 :8例手术成功 ,TIMI 1级 5例成功率 10 0 % ,闭塞时间 <6个月成功率 75 % ,闭塞时间 >6个月者成功率 40 % ,闭塞时间最长者为 16个月 ,平均 8～ 12个月。安放支架 6枚。随访 1年 ,无 1例死亡。结论 :冠状动脉旋磨术对慢性闭塞冠状动脉的治疗是安全有效的方法。
Objective:To evaluat the effect of rotational angioplasty(RA) in chronic coronary artry obstructions. Method: 14 patients with chronic coronary artry obstructions were performed with rotational angioplasty, and low pressure balloon angioplasty were performed after RA. Intravenous heparin in 800-1000U/h were infused for 72 hours after procedures,and oral therapy of aspirin and ticlopidine. Followed-up one year. Results Successful reopening was achieved in 8 patients,the success rate in patients with TIMI 1 was 100%,with the duration of occlusion <6 months was 75%,and with the duration of occlution >6 months was 40%,the longest duration of occlution was 16 months, the average duration of occlution was 8.12 months. Six stents were implanted. No death accured in the one year follow-up. Conclution Rotational angioplasty was safe and effective in treating chronic coronary artry obstructions.
出处
《海南医学》
CAS
2002年第11期67-69,共3页
Hainan Medical Journal
