摘要
目的 评价急诊冠状动脉 (冠脉 )内支架术治疗急性心肌梗死 (AMI)的安全性和有效性。方法 :对 12 6例AMI患者行急诊冠脉内支架术 ,术后临床随访 3～ 18个月。结果 12 6例患者中 ,手术成功 12 2例 (成功率为 96 .8% )。 12 6例 12 7支梗死相关动脉置入 14 1枚支架 ,其中左主干 2例、前降支 6 2例、左回旋支 2 3例、右冠状动脉 39例。术中死亡 1例 ,另 1例术后一周死于泵衰竭。随访期间 2 2例 ( 17.4% )再发心绞痛或经造影证实为再狭窄 ,2例( 1.6 % )发生AMI。随访期间心脏事件发生率为 19% ( 2 4 12 6 )。结论 急诊冠脉支架术治疗AMI成功率高 ,并发症低 。
Objective: To evaluate clinical safety and efficacy of primary intracoronary stenting in patients with acute myocardial infarction(AMI). Methods: Primary intracoronary stenting were performed in 126 patients with AMI and clinical follo-up 3 to 18 months.Results: The success rate of the procedure was 96.8%(122/126). 141 stents were implanted into 127 infarct-related arterys in 126 patieuts,2 cases in LM,62 cases in LAD,23 cases in LCX and 39 cases in RCA. During operation, one patient died of cardiogentic shock. One patient died of pump failure one week after operation. 22(17.4%) patients had recurrent angina and 2 (1.6%) patients had reinfarction at the primary site during the follow-up period, The rate of cardiac eveuts was 19% (24/126). Conclusions: Primary intracoronary stenting in patients with AMI is associated with a high procedure success rate, Low complication and good clinical outcomes.
出处
《海南医学》
CAS
2001年第8期2-4,共3页
Hainan Medical Journal
