拘禁球囊技术在PCI边支血管保护中的作用研究

Effect of jailed-balloon technique on PCI side branch protection

目的评价拘禁球囊技术在处理冠状动脉真性分叉病变中的可行性。方法将2013年3月至2014年10月,在该院心血管内科行冠状动脉造影检查,结果为冠状动脉真性分叉病变,并接受经皮冠状动脉介入治疗术(PCI)的71例患者,分为两组:拘禁球囊边支血管保护组(A组,28例)、传统边支血管保护组(B组,43例)。比较两组患者围术期并发症、X射线曝光时间、介入耗材使用的数量和总费用、心血管不良事件发生率等指标,对拘禁球囊技术可行性进行评价。结果两组患者手术并发症差异无统计学意义(P>0.05)。术后心血管不良事件及复查造影边支血管再狭窄率差异无统计学意义(P>0.05),但在PCI相关指标(使用球囊数量、PCI手术时间、射线暴露量、使用导丝数量、造影剂用量、手术费用)的比较中拘禁球囊组要明显低于传统方法边支保护组(P<0.05)。结论在冠状动脉真性分叉病变中使用拘禁球囊技术,可缩短手术时间X射线照射时间、降低患者介入相关医疗费用。

Objective To evaluate the feasibility of jailed-balloon technique（JBT）in the treatment of true coronary bifurcation lesions.Methods From March 2013 to October 2014,a total of 71 patients who received coronary angiography,were diagnosed as true coronary bifurcation lesions and then underwent percutaneous coronary intervention（PCI）in the Department of Cardiology of the Second Affiliated Hospital of Kunming Medical University was divided into group A（jailed balloon side branch protection group,28 cases）and group B（traditional side branch protection group,43 cases）.The perioperative complications,X-ray exposure time,the number of intervention supplies,the total expenses,the incidence of adverse cardiovascular events and other indicators between the groups were compared,and the feasibility of JBT was evaluated.Results There were no significant differences between the two groups in perioperative complications（P〉0.05）,postoperative adverse cardiovascular events and restenosis rate of side branch after angiography（P〉0.05）,but the PCI related indicators（including the balloon use number,PCI operation time,the amount of X-ray exposure,wire number,the amount of contrast agent and operation cost）in group A were significantly lower than those in group B（P〈0.05）.Conclusion JBT applied in the treatment of true coronary bifurcation lesions can reduce the operative time,X-ray irradiation time and related medical expenses.