摘要
目的:评价抽吸导管在急性心肌梗塞(AMI)介入治疗过程中应用的效果。方法:选择2009年1月至2010年3月间AMI患者共68例。其中应用抽吸导管及冠状动脉介入治疗(PCI)的患者33例,为血栓抽吸+PCI组;另有常规PCI对照组,35例。比较两组造影结果、临床预后及心肌梗塞溶栓(TIMI)血流分级。结果:抽吸+PCI组血栓即刻消失25例,血栓减少8例。与常规PCI对照组比较,血栓抽吸术组ST回落>70%者较多(40%∶75.8%),血栓积分显著下降[(1.5±1.0)分∶(0.1±0.2)分],血栓抽吸远端血流TIMI分级显著好转[(2.0±0.6)级∶(2.8±0.4)级],P均<0.05。术中及术后无严重并发症。结论:血栓抽吸是治疗急性心肌梗塞合并血栓者的简单、有效方法,可提高PCI的治疗成功率,改善心肌再灌注,减少无复流等并发症的发生,能改善其预后。
Objective: To evaluate the suck effect by catheter during percutaneous coronary intervention(PCI) in patients with acute myocardial infarction(AMI).Methods: A total of 68 AMI patients were enrolled from January 2009 to March 2010.There were 33 patients received PCI and suck by catheter(suck+PCI group);another 35 patients received routine PCI(routine PCI control group).Results of coronary angiography,clinical effect and thrombolysis in myocardial infarction trial(TIMI) of the two groups were compared and analyzed.Results: Thrombus instantly disappeared in 25 cases and decreased in 8 cases in suck+PCI group.Compared with routine PCI control group,ratio of ST segment resolution 70%(40% vs.75.8%) was significantly higher,thrombus score [(1.5±1.0) scores vs.(0.1±0.2) scores] significantly decreased and TIMI blood flow grades after suck site [(2.0±0.6) grades vs.(2.8±0.4) grades] significantly improved in suck+PCI group,P0.05 all.There were no severe complications during and after operation.Conclusion: Thrombus suction is a simple and effective method for treatment of acute myocardial infarction with thrombus.It can improve successive rate of percutaneous coronary intervention,reperfusion of myocardium,decrease the incidence rates of complications such as no-reflow and improve its prognosis.
出处
《心血管康复医学杂志》
CAS
2011年第3期238-240,共3页
Chinese Journal of Cardiovascular Rehabilitation Medicine
基金
辽宁科技计划项目(2009225010-34)
关键词
心肌梗塞
抽吸
导管
血管成形术
经腔
经皮冠状动脉
Myocardial infarction
Suction
Angioplasty
transluminal
percutaneous coronary