摘要
为评价冠状动脉内Palmaz-Schatz支架的临床效果,我们回顾性总结分析了70例冠心病患者74支冠状动脉血管80个Palmaz-Schatz支架植入的临床成功率、并发症及远期疗效。结果:DeNovo支架植入63个,Suboptimal支架植入11个,Bail-out支架植入4个,再狭窄病变支架植入2个。左前降支37处病变植入41个支架,左回旋支11处病变植入11个支架,右冠状动脉25处病变植入27个支架,1处病变植入1个支架。支架植入的成功率为98.7%。术中1例SVG支架植入术中近端血管血栓形成。住院期间无亚急性支架血栓形成或严重出血性并发症。术后3~24个月30例患者共33个支架接受冠状动脉造影随访,6例6个支架节段血管有再狭窄,再狭窄率为18.7%。结果提示:冠脉内Palmaz-Schatz支架是一种安全有效的介入性治疗技术,其成功率高,并发症率低。
Objective:ToevaluatetheclinicalresultsofintracoronaryimplantationofPalmaz-Schatzstents.Methods:Retrospectiveanalysesofshort-andlong-termresultsofPalmaz-Schatzstentsimplantationperformedon70coronaryarterydiseasepatientsweredone.EightyPalmaz-Schatzstentswereimplantedinto74coronaryarteries.Results:Therewere63denovostenting,11suboptimalstenting,4bail-outstentingand2restenosisstenting.Forty-onestentswereimplantedinto37LAD,11stentsinto11LCX,27stentsinto25RCA,1stentintoSVG.Thesuccessrateoftheimplantationwas98.7%.InthecasesinvolvingtheSVG,proximalthrombosisoccurredafterstenting.Nootherstent-subacutethrombosisorseverebleedingwereobservedinhospitalstay.Thirtypatients(34coronaryarteries)underwentcoronaryangiography3-24monthsafterstentim-plantation.Restenosiswasfoundin6cases(6coronaryarteries)withanincidenceof18.7%.Con-clusion:ThisreportshowedthatintracoronaryPalmaz-Schatzstentingisasafeandeficientinterven-tionalprocedurewithahighsuccessrateandveryfewcomplications.ItMayreducerestenosisrateordelaysitsoccurrence.
出处
《中华心血管病杂志》
CAS
CSCD
北大核心
1996年第5期332-335,共4页
Chinese Journal of Cardiology