摘要
目的 :评价急性心肌梗死 (AMI)患者梗死相关动脉行急诊冠状动脉内支架术的疗效及安全性。方法 :对 2 4例急性心肌梗死患者在发病 12h内作梗死相关动脉直接经皮冠状动脉腔内形成术 (PTCA)加冠状动脉内支架置入术。梗死相关动脉 :前降支 14例 ,回旋支 4例 ,右冠状动脉 6例。结果 :2 4例患者中 2 3例介入治疗成功 (成功率 95.8% ) ,梗死相关动脉共置入支架 2 5个 ,TIMI血流 3级且无围手术期严重并发症 (死亡、急性心肌梗死、急诊冠状动脉旁路移植术 )。随访 1～ 3 0个月 ,1例术后 2个月出现心绞痛 ,经冠脉造影证实为再狭窄 ,经再次PTCA治疗成功。结论
Objective: To evaluate the clinical efficacy of primary intracoronary stenting in the infarct related artery in patients after acute myocardial infarc tion (AMI). Methods: Both of percutaneous transluminal coro nary angioplasty (PTCA) and primary coronary stenting were performed for 24 AMI patients with their onset of chest pain in 12 hours. Infarct related arteries were left anterior descending artery in 14 patients, left circumftex in 4, and r ight coronary artery in 6 cases. Results: Twenty three patien ts were successfully treated by emergency PTCA plus primary coronary stenting and the rates of successful treatment were 95.8%,25 stents were implant ed in the infarct related artery for 23 patients. TIMI Ⅲ was gained in 23 patie nts and no periprocedural serious cardiac events such as death,AMI, emergency co ronary artery bypass graft etc. With follow-up 1-30 months, one patient had chest pain by the end of 2 months after stenting. Restenosis was co nfirmed by coronary angiography and treated by PTCA once more. Conclusi on: These findings suggest that primary intracoronary stentings for A MI is a safe and effective intervenient procedure.
出处
《江苏大学学报（医学版）》
CAS
2003年第5期425-427,共3页
Journal of Jiangsu University：Medicine Edition
关键词
急性心肌梗死
血管成形术
经皮
冠状动脉
支架
Acute myocardial infarction
Angioplasty
Percu taneous
Coronary
Stent
