摘要
目的对比拘禁球囊技术(Jailed balloon technique,JBT)和拘禁导丝技术(Jailed wiretechnique,JWT)在冠状动脉分叉病变中的疗效差异。方法选择 2017年1月至2018年1 月在本院就诊,冠状动脉造影诊断为冠脉分叉病变的患者48例,将他们随机分为两组:JWT组(24例)和JBT组(24 例),比较两组患者术中边支闭塞或夹层的发生率、边支置入支架数量和术后即刻主支和边支的残余狭窄率,并对主要不良心血管事件(Major adverse cardiovascular events,MACE)进行随访1年,对比两种技术的临床疗效的优劣情况。结果JWT组7例发生边支闭塞或夹层,共置入7枚支架,JBT组1例发生分支夹层,置入1 枚支架,两组比较差异有统计学意义(P=0.020)。术后即刻进行冠脉造影,测量病变残余狭窄率,两组主支血管残余狭窄率比较差异无统计学意义(t=0.285,P=0.777);JBT组边支血管残余狭窄率优于JWT 组[(21.29±7.81)%比(32.47±8.04)%],两组比较差异有统计学意义(t=4.886,P=0.000)。随访期间,两组均未发生MACE 事件。结论在冠脉分支病变的处理中对比拘禁导丝技术,拘禁球囊技术是更加安全可靠、疗效优越的新方法。
Objective To explore the curative effects of jailed balloon technique(JBT) versus jailed wire technique(JWT)for bifurcation of coronary artery. Methods Forty-eight patients with true bifurcation lesions confirmed by coronary angiography from January, 2017 to January, 2018 at our hospital were selected and randomly divided into a JWT group (n=24)and a JBT group (n=24). The incidence of side branch occlusion or dissection, the number of side branch stent implantation and the residual stenosis rate of main and side branches immediately after surgery were compared between the two groups. The patients were followed up for 1 year for major adverse cardiovascular events (MACE). And the clinical efficacies of the two techniques were compared. Results 7 stents were implanted in 7 cases of the JWT group with side branch occlusion or dissection, and 1 case of the JBT group with branch dissection was occurred and 1 stent was implanted. There was a statistical difference between the two groups (P=0.048). After immediate postoperative review of coronary angiography and quantitative analysis of coronary angiography, there was no statistical difference in the rate of residual stenosis of main branches between the two groups (t=0.29,P=0.78). The rate of residual stenosis of side branches in the JBT group was (21.29±7.81)%, and that in the JWT group (32.47±8.04)%(t=4.89, P=0.00). During the followup, no MACE events occurred in either group. Conclusions In the treatment of coronary artery branch lesions, compared to JWT, JBT is a safer, more reliable, and more effective new method.
作者
杨云
李旭东
谢毅
黄有胜
郭镇声
张丽
Yang Yun;Li Xudong;Xie Yi;Huang Yousheng;Guo Zhensheng;Zhang Li(Department of Cardiology,Humen hospital,Dongguan 523902,China)
出处
《国际医药卫生导报》
2019年第14期2248-2251,共4页
International Medicine and Health Guidance News
关键词
冠状动脉粥样硬化性疾病
分叉病变
冠心病经皮冠脉介入
拘禁球囊技术
Coronary atherosclerotic disease
Bifurcation lesion
Percutaneous coronary intervention
Jailed balloon technique
Jailed wire technique
