摘要
目的评估分叉病变必要时支架术治疗过程中,主支近端优化-边支扩张-主支近端再优化(POT-side-POT)技术的即刻与近期临床疗效,并对比其与最终对吻球囊扩张(FKBI)技术两种不同方法对冠状动脉分叉病变PCI治疗疗效的影响。方法方便选取2016年6月—2017年11月期间,该院心内科冠心病患者通过冠脉造影证实的138个非左主干分叉病变患者,采用必要时支架术式并出现边支受累(边支血流受限,边支闭塞)分为FKBI组(68例)和POTside-POT组(70例),对比两组患者基线的临床特征,冠脉病变特征以及两组患者QCA参数、术中曝光时间及造影剂使用量。结果两组患者基线的临床特征与冠状动脉病变特征、术前即刻和术后即刻的冠状动脉主支和分支冠状动脉检查定量分析(QCA)均差异无统计学意义(P>0.05)。但POT-side-POT组手术操作时间,手术时间,术中曝光时间及造影剂使用量低于FKBD组,差异有统计学意义(P<0.05)。结论 POT-side-POT技术可以简化手术步骤,减少手术曝光时间及造影剂使用量,即刻与近期临床疗效不劣于FKBD技术,是PCI治疗冠状动脉分叉病变安全、有效、可行的方法。
Objective To evaluate the immediate and short-term clinical efficacy of POT-side-POT in the treatment of bi- furcation lesions during stenting. The effect of two different methods of the final kiss balloon expansion （FKBI） technique on the efficacy of PCI in the treatment of coronary bifurcation lesions. Methods From June 2016 to November 2017, 138 pa- tients with non-left main bifurcation lesions confirmed by coronary angiography in the department of cardiology and coro- nary heart disease were treated with necessary stenting and side branch involvement. The blood flow was limited and the lateral branch occlusion was divided into FKBI group （68 eases） and POT-side-POT group （70 eases）. The clinical charac- teristics of the baseline and the characteristics of coronary lesions and QCA parameters of the two groups were analyzed. Medium exposure time and amount of contrast agent used. Results There were no significant differences in the clinical fea- tures and coronary artery lesions between the two groups, and the quantitative analysis of the main coronary artery and branch coronary artery （QCA） immediately before and immediately after surgery （P〉0.05）. However, the operation time, surgery time, intraoperative exposure time and contrast agent usage in the POT-side-POT group were lower than those in the FKBD group,the different was statistically significant （P〈0.05）. Conclusion POT-side-POT technology can simplify the surgical procedure, reduce the exposure time and the amount of contrast agent. The immediate and recent clinical efficacy is not inferior to FKBD technology. It is a safe, effective and feasible method for PCI treatment of coronary bifurcation lesions.
作者
江晓波
JIANG Xiao-bo(Department of Cardiology,First Hospital of Longyan City,Longyan,Fujian Province,364216 China)
出处
《中外医疗》
2018年第31期13-15,共3页
China & Foreign Medical Treatment
关键词
分叉病变
必要时支架术
最终球囊对吻扩张
近端优化技术
Bifurcation lesions
Stenting if necessary
Final balloon-to-kiss expansion
Proximal optimization technique
