63例冠状动脉复杂病变介入治疗的临床分析

Effect of coronary angioplasty in 63 patents with coronary disease with complicated lesions

目的:探讨经皮冠状动脉介入治疗(PCI)对冠状动脉复杂病变的疗效。方法:回顾性分析3年来对63例冠状动脉复杂病变患者进行介入治疗的成功率、并发症及预后。结果:61例复杂病变(包括慢性闭塞、分叉病变、长病变和再狭窄)病人成功置入支架(96.82%),无残余狭窄或残余狭窄<10%。2例病人放置支架后出现侧支血管阻塞,3例出现动脉夹层,2例支架内形成再狭窄。未见其他严重并发症。结论:研究表明,介入治疗对于冠状动脉复杂病变是安全有效的。

Objective： To evaluate clinical result of percutaneous coronary intervention （PC1） for coronary artery disease （CAD） patients with complicated lesions. Methods： A total of 63 CAD patients with complicated lesions （contain chronic occulution, bifurcation lesion, long lesion and restenosis） were treated with PCL The procedural success and complication rates, major adverse cardiac events were observed, and restenosis rate and late lumen loss were also observed at follow-up. Results： The 61 patients （96.82%） were implanted stent successfully. There were in-stent restenosis in two patients and artery secret compartment in three patients, no other severe complication developed. Conclusion： The coronary angioplasty for CAD patients with complicated lesion is safe and feasible.