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远端保护装置在急性心肌梗死急诊经皮冠状动脉介入治疗中的应用

Application of distal protective device during emergent percutaneous coronary intervention in acute myocardial infarction patients
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摘要 急诊经皮冠状动脉介入治疗是目前治疗急性心肌梗死的首选方法。在大部分急性心肌梗死的患者中,急诊冠脉造影均显示存在较重的血栓负荷,而对富含血栓的冠状动脉行介入操作必然会增加远端栓塞的可能性。约13%～80．9%的病人术后出现慢血流或无再流现象,远端微循环栓塞系造成无再流现象最重要的原因之一。近年来问世的各种远端保护装置为防治远端栓塞提供了一种有效的方法。 Percutaneous coronary intervention （PCI） is of choice in the treatment of acute myocardial infarction （AMI）. Emergent angiogram showed lots of thrombi in the coronary of most AMI patients, so emergent PCI may increase the possibility of distal embolization in these patients, slow-flow or no-reflow phenomenon in 13%-80.9% of the patients, and distal embolization is one of the main reasons for no-reflow phenomenon. In reeent years, several distal protective devices have been invented and provided effective ways for the prevention of distal embolization.
作者 孙守刚 白锋 胡浩
机构地区 兰州大学第二医院心内科
出处 《兰州大学学报（医学版）》 CAS 2007年第1期89-92,共4页 Journal of Lanzhou University（Medical Sciences）
关键词 经皮冠状动脉介入治疗 急性心肌梗死 无再流 远端保护装置 percutaneous coronary intervention acute myocardial infarction no-reflow distal protective device
分类号 R540.4 [医药卫生—心血管疾病]
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参考文献13

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二级参考文献18

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兰州大学学报（医学版）
2007年 第1期

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