摘要
目的:探讨心肌血流储备分数(FFR)在冠状动脉临界病变中的应用价值。方法:选择2013-01~2014-06我院冠心病患者68例,共有84处临界病变,其冠状动脉造影示冠脉狭窄为50%~70%。分别测其FFR,对FFR<0.75者行血管内药物涂层支架植入术,所有患者均给予冠心病最优化治疗方案,随访3、6个月、1年,观察主要心血管事件发生情况。结果:6例病变需行血管内药物涂层支架植入术,术后测FFR>0.90。68例随访期间无主要心血管事件发生,未见严重药物不良反应。结论:FFR的应用更好地指导了临界病变血管的处理,同时减少患者痛苦及医疗费用。
Objective:To explore the value of the fractional flow reserve(FFR)in coronary borderline lesions.Methods:The myocardial FFR was measured for 68 patients with coronary heart disease(CHD)between January 2013 and June 2014,with 50%to 70%coronary artery stenosis and 85 critical lesions.The drug-eluting stents(DES)were placed for the lesions with FFR lesser than 0.75.All patients were given the optimization treatment of coronary heart disease.All patients were followed up for the major cardiovascular events 3,6and 12 months after the procedure.Results:Six patients were treated with DES and their FFR was all more than 0.90 after treatment.In the 68 patients,there was no major cardiovascular events found during follow-up,and no serious adverse drug reaction occurred.Conclusion:The FFR is a useful additional tool for the treatment of coronary borderline lesions,can release the pain and reduce the medical expenses.
出处
《西北国防医学杂志》
CAS
2016年第9期594-595,共2页
Medical Journal of National Defending Forces in Northwest China
关键词
冠心病
心肌血流储备分数
经皮冠状动脉介入术
coronary heart disease
fractional flow reserve
percutaneous coronary intervention
