| 曾行德,曾建华,田富强,刘伊丽,侯玉清.冠状动脉内支架植入术临床造影研究[J].中国医学影像技术,1998,14(6):407~410 |
| 冠状动脉内支架植入术临床造影研究 |
| Clinical and Angiographic Study of Percutaneous Intracoronary Arterial Stenting |
| 投稿时间：1997-11-15 |
| DOI： |
| 中文关键词: 冠状动脉疾病 冠状动脉内支架 介入放射学 |
| 英文关键词:Coronary disease Intracoronary stent Interventional radiology |
| 基金项目: |
|
| 摘要点击次数: 1604 |
| 全文下载次数: 582 |
| 中文摘要: |
| 目的：研究经皮冠状动脉内支架植入术(PICAS)的临床和造影表现, 提高治疗效果。材料和方法：本组病例均经临床, 心电图和选择性冠状动脉造影(SCAG)证实为冠心病。30例经皮冠状动脉内支架植入术的原因有经皮腔内冠状动脉成形术(PTCA)中发生急性冠状动脉闭塞2例, 冠状动脉夹层1例, 为防止PTCA术后再狭窄18例, PTCA术后再狭窄4例, 急性心肌梗塞5例。30例SCAG均采用Judkins法。PICAS的技术操作在数字成像电视下进行。结果：30例SCAG表现显示冠状动脉狭窄或闭塞48支62处。我们在32支38处病变植入内支架, 30例植入38只内支架。每例内支架数分别为1只(26例), 2只(2例), 3只(1例)和5只(1例).成功率为100%.结论：①PICAS是治疗原发性和继发性冠状动脉阻塞的有效方法。其成功率高, 并发症低。②SCAG表现提示右冠状动脉, 冠脉近段病变和局限性病变PICAS成功率高。③冠脉复杂病变, 重度或闭塞病变, 以及长段病变的PICAS的难度大, 但技术操作熟练, 成功率也高。 |
| 英文摘要: |
| Purpose:To study clinical and angiographic appearances of percutaneous intracoronary arterial stenting (PICAS) for improving therapeutic effect. Methods:In this series,coronary heart disease was proven by clinic,electrocardiogram and selective coronary arteriography (SCAG).Causes of 30 cases of PICAS were acute coronary occlusion in PTCA (2 cases),coronary arterial dissection (1 cases),preventing coronary arterial restenosis after PTCA (18 cases),coronary arterial restenosis after PTCA (4 cases) and acute myocardial infarction (5 cases).Thirty cases of SCAG were performed by Judkins method.The technical operation of PICAS was performed under digital imaging TV.Results:Characteristics of 30 cases of SCAG demonstrated coronary arterial stenosis or occlusion in 48 Vessels and 62 lesions,The stents were successfully implanted in 32 vessels and 38 lesions.Thirty eight stents were implanted in 30 cases.Among 30 cases,stent number of every patient was one stent (26 cases),two stents (2 cases),three stents (1 cases),and five stents (1 cases),respectively.Success rate was 100%.Conclusion:①PICAS was effective therapeutic method for primary and secondary coronary obstruction.Success rate of PICAS was high and its complications were lower.②Appearances of SCAG pointed out high success rate in right coronary artery,proximal lesions and local lesions.③PICAS was extremely difficult in coronary complex disease,sever or closed lesions and longer lesion but success rate was high when technical operation was very skilled. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|
