Ikarileft指引导管在右冠状动脉起源异常患者中的运用

发布时间：2018-05-29 13:08

本文选题：Ikari + left指引导管　；参考：《临床心血管病杂志》2017年07期

【摘要】：目的:在右冠状动脉(冠脉)起源异常的患者中,分析Ikari left指引导管寻找异常右冠开口的优势。方法:回顾2010-07-2014-07厦门大学附属第一医院心内科收治的60例非ST段抬高急性冠脉综合征合并右冠起源异常的患者,均在Ikari left指引导管的指引下成功寻找到右冠开口,其中30例为经皮冠脉介入(PCI)术治疗右冠病变,另外30例为右冠冠脉造影术。结果:4年内共计820例非ST段抬高急性冠脉综合征中有80例合并右冠起源异常,发生率9.76%,其中30例在Ikari left指引导管的指引下完成起源异常的右冠狭窄病变PCI术,发生率为3.66%;另外30例患者右冠为非犯罪血管,2例起源于左冠窦,1例起源于主动脉前壁,均在该指引导管下成功找到右冠开口。其余20例患者均为单支冠脉,右冠为回旋支中段或远段发出的分支,均在左冠造影的同时诊断。观察以上患者12个月,均无再发心绞痛,无心肌梗死、心力衰竭、心源性猝死、再次入院行冠脉血管化治疗等主要心血管事件出现。结论:Ikari left指引导管的独特设计结构在寻找起源异常的右冠开口时有着明显的优势,同时能安全有效地运用在这些右冠病变的PCI术中。
[Abstract]:Aim: to analyze the advantage of Ikari left guiding catheter in finding abnormal right coronary opening in patients with abnormal origin of right coronary artery (RCA). Methods: a total of 60 patients with non-ST-segment elevation acute coronary syndrome complicated with abnormal origin of right coronary artery were treated in Department of Cardiology, Xiamen University affiliated to Xiamen University, 2010-07-2014-07. Under the guidance of Ikari left catheter, the right coronary opening was found successfully. 30 cases were treated by percutaneous coronary intervention (PCI) and 30 cases by right coronary angiography. Results: of the 820 cases of non-ST-segment elevation acute coronary syndrome, 80 cases were complicated with abnormal origin of right coronary artery, the incidence rate was 9.76.The 30 cases underwent PCI procedure with abnormal origin of right coronary stenosis under the guidance of Ikari left catheter. In the other 30 patients, the right coronary artery originated from the anterior wall of the aorta in 1 case, and the right coronary orifice was successfully found under the guide catheter. All the other 20 patients were single coronary artery and the right coronary artery was the middle or distal branch of the circumflex branch. All the patients were diagnosed by left coronary angiography at the same time. After 12 months, no recurrent angina pectoris, no myocardial infarction, heart failure, sudden cardiac death, readmission coronary artery vascularization and other major cardiovascular events occurred. Conclusion the unique design structure of the left guiding catheter has obvious advantages in finding the right coronal orifice with abnormal origin, and it can be safely and effectively used in the PCI operation of these right coronal lesions.
【作者单位】：厦门大学附属第一医院心内科;福建医科大学第一临床医学院心内科;
【分类号】：R541.4

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