急性ST段抬高型心肌梗死直接PCI支架置入的必要性探讨

The Essentiality of Primary Percutaneous Coronary Intervention with Direct Stenting for Patients with Acute ST-segment Elevation Myocardial Infarction

目的探讨急性ST段抬高型心肌梗死患者行直接PCI术时置入支架的时机.方法入选的90例急性ST段抬高型心肌梗死患者行直接PCI术时,有28例在球囊扩张后未置入支架,23例于两周后复查冠脉造影观察梗死相关动脉是否需要置入支架.结果本组病例约15.6%的患者不需要置入支架.结论急性ST段抬高型心肌梗死患者行直接PCI术时应采用必要性支架置入的治疗策略。

Objective To discuss the optimum time of stenting in primary percutaneous coronary intervention for patients with acute ST-segment elevation myocardial infarction.Methods The selected 90 patiens with acute ST-segment elevation myocardial infarction underwent primary percutaneous coronary intervention.There were 28 cases who did not receive stenting after balloon dilation,we observed whether 23 patients need for stenting in infarct-related artery by rechecking coronary angiography after two weeks.Result There were 15.6% patients who didn＇t need stenting.Conclusion The patients with acute ST-segment elevation myocardial infarction need stenting treatment strategy when they undergo primary percutaneous coronary intervention.