冠状动脉左主干急性闭塞介入治疗新术式临床应用

发布时间：2018-04-14 10:36

本文选题：左主干闭塞 + 介入治疗　；参考：《介入放射学杂志》2017年08期

【摘要】：目的探讨冠状动脉左主干急性闭塞病变介入治疗新术式临床应用的效果。方法收集2003年5月至2016年10月收治的左主干急性闭塞患者58例临床资料。其中14例接受传统经皮冠状动脉介入治疗(PCI),44例先接受小球囊扩张,血流恢复TIMI分级3级后等待30~40 min再植入支架。结果接受传统PCI治疗患者中8例死亡,死亡率为57.1%(8/14);接受先行小球囊扩张再行支架植入术患者中仅3例死亡,死亡率为6.8%(3/44)。结论小球囊扩张后延时支架植入术治疗急性左主干闭塞患者死亡率更低,是一种安全有效的术式。
[Abstract]:Objective to investigate the clinical effect of the new method of interventional treatment for acute coronary artery occlusion.Methods from May 2003 to October 2016, 58 patients with acute occlusion of left main trunk were collected.Among them, 14 cases were treated with traditional percutaneous coronary intervention. 44 cases received small balloon dilatation. The blood flow was restored to grade 3 of TIMI grade, and then the stents were implanted for 30 ~ 40 min.Results among the patients treated with traditional PCI, 8 died, with a mortality rate of 57.1%, and only 3 cases with small balloon dilatation and stent implantation, with a mortality rate of 6.8% 44%.Conclusion delayed stent implantation after small balloon dilatation is a safe and effective method for the treatment of acute left main artery occlusion.
【作者单位】：山东省交通医院心内科;
【分类号】：R542.22

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