冠状动脉旋磨术术中并发症单中心经验分析

Analysis of the intraoperative complications of coronary rotational atherectomy:single center experience

目的分析冠状动脉(冠脉)旋磨术术中各种并发症的发生及处置。方法入选2010年12月至2018年12月于武警特色医学中心接受冠脉旋磨术的131例患者,总结冠脉旋磨术术中并发症的发生率和处置情况。结果131例经冠脉造影证实的钙化病变,拟行冠脉内旋磨术处理,共12例出现术中并发症。其中1例(0.76%)旋磨头到达病变前出现夹层,旋磨未成。旋磨后出现冠脉慢血流/无复流6例(4.58%),冠脉夹层4例(3.05%),旋磨导丝断留冠脉内1例(0.76%)。结论冠脉旋磨术的并发症发生率在介入治疗手段中较低,且大部分可通过提高操作规范性而避免。冠脉旋磨术对严重钙化病变或球囊难以通过的血管成形具有很大意义。

Objective To analyze the intraoperative complications and disposal measures of coronary rotational atherectomy.Methods To review and summarize the incidence rate and disposition of intraoperative complications in coronary rotational atherectomy.A total of 131 consecutive patients who received rotational atherectomy from December 2010 to December 2018 were enrolled retrospectively.Results To review and summarize the incidence rate and disposition of intraoperative complications in coronary rotational atherectomy.A total of 131 consecutive patients who received rotational atherectomy from December 2010 to December 2018 were enrolled retrospectively.Conclusion To review and summarize the incidence rate and disposition of intraoperative complications in coronary rotational atherectomy.A total of 131 consecutive patients who received rotational atherectomy from December 2010 to December 2018 were enrolled retrospectively.