冠状动脉内支架治疗复杂性冠状动脉病变(摘要)
作者：李保 史世平 邱龄 温静霞 梁峰
单位：山西省太原市，山西省心血管病研究所(030001)
关键词：
中国循环杂志99zk48 目的：为探讨经皮冠状动脉内支架置入术治疗复杂性冠状动脉病变的疗效。
方法：我们于1995年4月至1999年5月间对90例具有复杂性冠状动脉病变(B型或C型)的冠心病患者行冠状动脉内支架置入术。90例患者中男84例，女6例，年龄34～74岁，平均53.4岁。单支病变14例，双支病变49例，三支病变27例。共置入127枚支架，分别置入前降支96枚、右冠状动脉23枚、回旋支8枚。置入支架的种类为:Palmaz-schatz、Giantur-Rubin、Multi-link、NIR、AVE、XT、Wictor-i、BeStent。
结果：支架置入的成功率为100%，管腔狭窄程度由术前的85%～100%降至术后的-10%～10%。术后1例发生支架内亚急性血栓形成，3例发生穿刺部位的出血并形成血肿，经理疗后吸收好转。术后随访1个月至4年不等，有1例(1.1%)发生心肌梗塞，12例(13.3%)再发心绞痛，其中有4例经冠状动脉造影证实为再狭窄，经再次球囊扩张后症状减轻或消失。
结论：经皮冠状动脉腔内支架置入术治疗复杂性冠状动脉病变是一种安全有效的介入性治疗技术，其成功率高、并发症低。
Intracoronary Stenting for Complex Coronary Artery Lesions (Abstract)
Shanxi Cardiovascular Institute, Taiyuan (030001), Shanxi
Li Bao, Shi Shiping, Qiu Ling, et al.
Objective: To explore the therapeutic value of percutaneous intracoronary stent implantation in the treatment of complex coronary artery lesions.
Methods: Intracoronary stents were implanted in ninety patients aged 34～74 years with coronary artery disease in our hospital from April 1995 to May 1999. Ninety patients included 84 males, 6 femals; single vessel lesion in 14 cases, double vessel lesion in 49, triple vessel lesion in 27. One hundred and twenty-seven intracoronary stents were implanted; 96 in LAD, 23 in RCA and 8 in LCX.
Results: The procedure success rate was 100%. Average diameter stenosis decreased from 85%～100% to -10%～10% after stenting. Subcute thrombosis occurred in one case and severe bleeding occurred at the puncture site in 3 cases. During the follow up of 1 month to 4 years, 1 case (1.1%) had myocardial infarction, 12 (13.3%) reoccurred angina.
Conclusion: The results suggest that intracoronary stenting is a safe and effective interventional procedure with a high success rate and few complications., http://www.100md.com
单位：山西省太原市，山西省心血管病研究所(030001)
关键词：
中国循环杂志99zk48 目的：为探讨经皮冠状动脉内支架置入术治疗复杂性冠状动脉病变的疗效。
方法：我们于1995年4月至1999年5月间对90例具有复杂性冠状动脉病变(B型或C型)的冠心病患者行冠状动脉内支架置入术。90例患者中男84例，女6例，年龄34～74岁，平均53.4岁。单支病变14例，双支病变49例，三支病变27例。共置入127枚支架，分别置入前降支96枚、右冠状动脉23枚、回旋支8枚。置入支架的种类为:Palmaz-schatz、Giantur-Rubin、Multi-link、NIR、AVE、XT、Wictor-i、BeStent。
结果：支架置入的成功率为100%，管腔狭窄程度由术前的85%～100%降至术后的-10%～10%。术后1例发生支架内亚急性血栓形成，3例发生穿刺部位的出血并形成血肿，经理疗后吸收好转。术后随访1个月至4年不等，有1例(1.1%)发生心肌梗塞，12例(13.3%)再发心绞痛，其中有4例经冠状动脉造影证实为再狭窄，经再次球囊扩张后症状减轻或消失。
结论：经皮冠状动脉腔内支架置入术治疗复杂性冠状动脉病变是一种安全有效的介入性治疗技术，其成功率高、并发症低。
Intracoronary Stenting for Complex Coronary Artery Lesions (Abstract)
Shanxi Cardiovascular Institute, Taiyuan (030001), Shanxi
Li Bao, Shi Shiping, Qiu Ling, et al.
Objective: To explore the therapeutic value of percutaneous intracoronary stent implantation in the treatment of complex coronary artery lesions.
Methods: Intracoronary stents were implanted in ninety patients aged 34～74 years with coronary artery disease in our hospital from April 1995 to May 1999. Ninety patients included 84 males, 6 femals; single vessel lesion in 14 cases, double vessel lesion in 49, triple vessel lesion in 27. One hundred and twenty-seven intracoronary stents were implanted; 96 in LAD, 23 in RCA and 8 in LCX.
Results: The procedure success rate was 100%. Average diameter stenosis decreased from 85%～100% to -10%～10% after stenting. Subcute thrombosis occurred in one case and severe bleeding occurred at the puncture site in 3 cases. During the follow up of 1 month to 4 years, 1 case (1.1%) had myocardial infarction, 12 (13.3%) reoccurred angina.
Conclusion: The results suggest that intracoronary stenting is a safe and effective interventional procedure with a high success rate and few complications., http://www.100md.com