冠脉内旋磨术在冠状动脉狭窄病变介入治疗中的应用——附9例报告

Rotational atherectomy in the interventional treatment of coronary artery stenosis

目的 通过应用冠脉内旋磨术 (ROTABLA TOR)、球囊扩张术及支架置入术 (STENTING)治疗冠状动脉狭窄病变 ,观察其对治疗冠脉血管狭窄的有效性及安全性。方法 对 9例冠状动脉狭窄病变 (经冠脉造影或血管内超声诊断 )血管段先行冠状动脉旋磨术 ,然后以球囊扩张术 ,其中7例进行支架置入术 ,并对结果进行随访。结果 9例患者手术全获成功 ,术中无出现不良反应或并发症 ,围手术期无并发症。术后随访 6～ 18个月未出现心绞痛、心肌梗死及其他心脏病事件。

Objectives To evaluate the interventional treatment of coronary artery stenosis with rotational atherectomy, percutaneous transluminal coronary angioplasty (PTCA) and coronary stenting. Methods The coronary arteries of 9 patients were stenosis by coronary angiography (CAG) or ultrasonic coronary angiography.The rotational atherectomy and percutaneous transluminal coronary angioplasty were perform in all patients.Stenting was performed in 7 cases. All of them were followed up after treatment.Results All cases were succeeded and without any side effects or complication during the operation. No angina, acute myocardial infarction or other coronary event occurred during the follow up for 6～12 months.Conclusions The combination of rotational atherectomy and coronary balloon angioplasty or stenting is safe and efficient in the treatment of coronary artery stenosis.