摘要
目的探讨裸金属支架治疗单支冠状动脉局限性动脉瘤合并毗邻部位严重狭窄的效果。方法纳入2012年12月至2015年6月在阜外医院接受裸金属支架置入术的单支冠状动脉局限性动脉瘤合并毗邻部位严重狭窄（狭窄程度≥70%）患者7例，对其临床资料进行回顾性分析。7例患者均为男性，年龄（62±11）岁。术中首先对动脉瘤毗邻狭窄部位进行预扩张，然后跨越动脉瘤瘤体，置入裸金属支架，使瘤体局部被裸支架覆盖。收集患者术后即刻和随访期间的临床及影像学资料，对介入治疗的效果进行评估。结果左前降支动脉瘤5例，右冠状动脉动脉瘤2例。动脉瘤瘤体直径（5.21±1.28）mm，长度（13.71±3.88）mm。术后即刻冠状动脉造影可见动脉瘤内形成涡流，动脉瘤近端狭窄消失，远端血管血流TIMI 3级，未见夹层及血栓征象。7例患者在术后6（6，16）个月的随访中，原有冠状动脉瘤消失，未发生心肌缺血、急性心肌梗死、血运重建、出血和死亡等不良心血管事件。结论初步经验表明，裸金属支架治疗单支冠状动脉局限性动脉瘤合并毗邻部位严重狭窄安全、有效。
Objective To investigate the efficacy of bare metal stent for treating focal coronary artery aneurysm complicating with severe stenosisin single coronary artery.Methods This retrospective analysis was performed in 7 patients who were diagnosed as local coronary artery aneurysm complicating with severe stenosis（≥70%） in single coronary artery and treated with bare metal stent during the period from December 2012 to June 2015 in Fuwai Hospital. All 7 patients were male with age of （62± 11） years old. During the interventional operation, the narrow parts were pre-expanded,and all patients received bare metal stents implantation to cover aneurysms.The clinical and imaging data of patients immediately post procedure and at postoperative follow-up were collected to evaluate the clinical efficacy.Results There were 5 cases of left anterior descending aneurysms and 2 cases of right coronary artery aneurysms. The diameter of aneurysm was （5.21 ± 1.28）mm, and the length was （13.71 ± 3.88）mm. There was intracranial vortex in coronary arteriography immediately after intervention.Proximalstenosis of coronary artery aneurysm was disappeared,and the distal blood flow was TIMI class 3.There were no signs of aortic dissection and thrombus formation.During 6（6 16） months follow-up, the aneurysms were disappeared,and there were no major adverse cardiovascular events which including myocardial ischemia, acute myocardial infarction, revascularization,bleeding, and death for all patients.Conclusion Initial experience shows that double-layer bare metal stents implantation for patients with localized coronary artery aneurysm complicating with severe stenosis in single vessel is safe and effective.
作者
乔树宾
李佳
崔锦钢
袁建松
刘圣文
赵杰
胡奉环
杨伟宪
刘海波
孙仲伟
高润霖
Qiao Shubin;Li Jia;Cui Jingang;Yuan Jiansong;Liu Shengwen;Zhao Jie;Hu Fenghuan;Yang Weixian;Liu Haibo;Sun Zhongwei;Gao Runlin(Center of Coronary Heart Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China)
出处
《中华心血管病杂志》
CAS
CSCD
北大核心
2018年第4期279-283,共5页
Chinese Journal of Cardiology
关键词
冠状动脉瘤
支架
治疗结果
Coronary aneurysm
Stents
Treatment outcome
