摘要
目的探讨ADROIT指引导管在对冠状动脉分叉病变行经皮冠状动脉介入治疗(PCI中应用的临床效果。方法纳入2015年9月至2017年9月就诊于江门市中心医院心内科需行PCI的分叉病变患者共120例,按照简单随机数字表法分为试验组(ADROIT指引导管组)60例和对照组(普通指引导管组)60例,比较两组患者手术时间、X线曝光时间(简称"曝光时间")、对比剂用量、手术成功率以及术后6个月支架内再狭窄发生率等。结果试验组患者总手术时间少于对照组[(49.2±19.5)min比(63.4±21.5)min,P<0.001],而曝光时间(双支架)高于对照组[(37.0±11.6)min比(29.3±5.9)min,P=0.037],差异均有统计学意义。两组患者均未发生明显夹层,手术成功率及支架内再狭窄发生率比较,差异均无统计学意义(均P>0.05)。单支架技术JWT患者手术时间、曝光时间及对比剂用量比较,差异均无统计学意义(均P>0.05)。结论 ADROIT指引导管在冠状动脉分叉病变行PCI中较普通指引导管手术时间更少,术中并发症发生率及术后中期效果与普通指引导管差异不大,能完成大部分分叉病变的治疗,值得临床推广。
Objective To compare the clinical effect between ADROIT and regular guide catheters in coronary bifurcation lesion intervention.Methods A total of 120 patients with bifurcation lesions were treated by coronary intervention therapy in the cardiology department of Jiangmen Central Hospital from September,2015 to September,2017.The patients were divided into two groups with simple random number table method,60 in the experimental group(ADROIT guide catheter)and 60 in the control group.Patients in the two groups were compared on procedural time,fluoroscopy time,contrast volume,replacement of AL strong support guide catheter and incidence of stent restenosis at six months.Results The procedural time in the experimental group was shorter than that in the contrast group[(49.2±19.5)min vs.(63.4±21.5)min,P<0.001],and the fluoroscopy time(double stents)was longer than that in the contrast group[(37.0±11.6)min vs.(29.3±5.9)min,P=0.037],both were signifi cant in statistics.There was no coronary artery dissection in both groups,and there was no signifi cant diff erence in success rate and restenosis rate between the experimental and control group(all P>0.05).There was no signifi cant diff erence in procedure time,fluoroscopy time or contrast volume between two groups in the JWT subgroup analysis(all P>0.05).Conclusions Compared with the regular guide catheter,ADROIT guide catheter could reduce the procedural time,with no diff erence on the incident rate of complications and mid-term eff ect.It can help with most of the bifurcation lesions treatment.It is safe and worth a promotion in clinical use.
作者
赖浚兴
谭文锋
宋岸坚
张斌
LAI Jun-xing;TAN Wen-feng;SONG An-jian;ZHANG Bin(Department of Cardiology,Jiangmen Central Hospital,Jiangmen529000,China)
出处
《中国介入心脏病学杂志》
2019年第3期162-166,共5页
Chinese Journal of Interventional Cardiology
关键词
指引导管
分叉病变
经皮冠状动脉介入治疗
Guide catheter
Bifurcation lesions
Percutaneous coronary intervention
