Firebird支架治疗冠心病140例临床观察

Observation on the clinical effect of Firebird drug eluting stents in patients with coronary heart disease

观察国产Firebird支架在冠心病患者介入治疗中的临床疗效。方法共140例冠心病患者常规冠状动脉造影后行经皮冠状动脉介入(PCI)治疗,其中64例患者植入Firebird支架,76例患者置入普通支架,术前术后除常规使用阿司匹林和波立维外,同时给予严格的内科强化治疗,术后进行随访。结果冠状动脉造影显示2支以上血管病变占70.56%,一共植入Firebird支架114枚,普通支架105枚,所有患者均获得成功。平均随访(10.2±3.3)个月,其中药物支架组复发心绞痛18例,10例发生心肌梗死;普通组复发心绞痛40例,16例发生心肌梗死。部分患者行冠脉造影复查,Firebird支架组发生再狭窄2例,普通支架组发生再狭窄8例,均进行了靶病变重建术。结论Firebird支架对冠心病患者近期疗效确切,能减少再狭窄的发生。

Objective To assess the clinical effect of Firebird drug eluting stent in patients with coronary heart disease(CHD) who performed percutaneous coronary intervention(PCI) .Methods 140 patients were enrolled in the study. All patients were performed coronary arteriongraphy and PCI. 64 patients were implanted with Firebird stents and 76 pateints were implanted with bare stents. All patients were administered asprin and Clopidogrel regularly before and after procedures,at the same time, medical treatment was used strongly and strictly. Follow-up actions were performed after procedures.Results Lesions in a couple or more coronary arteries were showed in 70% of all the patients by angiography, 219 stents together were implanted in the patients,the Firebird stents was 114,and the bare stents was 105. The procedures were perfermed successfully in all patients .The average time of follow-up was(10.2±3.3)months. 18 patients suffered recurrent angina and 10 patients suffered myocardial infarction in the Firebird stents group. 40 patients suffered recurrent angina and 16 patients suffered myocardial infartion in the bare stents group. Some of the patients receive coronary arteriongraphy in follow-up,8 patients suffered restenosis in bare stents group and 2 patients in Firebird stents group , target lesions revasoularization were performed in these patients. Conclusion Firebird stents used in patients with CHD are effective, and reduce the restenosis after PCI.