远端血管保护装置Guard Wire在急性心肌梗死急诊介入治疗中的应用

被引：14

作者：

黄铮

陈红武

Osamu Katoh

Shigeru Nakamura

机构：

[1] 广州第一军医大学南方医院心内科,广州第一军医大学南方医院心内科,日本京都市京都桂病院心脏血管中心,日本京都市京都桂病院心脏血管中心,

来源：

中华心血管病杂志 | 2003年 / 11期

关键词：

心肌梗塞; 血管成形术,经腔,经皮冠状动脉; 栓塞;

D O I：

暂无

中图分类号：

R542.22 [];

学科分类号：

1002 ; 100201 ;

摘要：

目的　评价GuardWire在急性心肌梗死 (AMI)急诊介入治疗时应用的价值。方法　连续观察 4 8例AMI急诊介入治疗并应用了GuardWire的患者 ,记录术中心电图变化及血流情况等 ,分析该装置的操作、造影和手术成功率 ,以及住院期间和术后 30d内的心血管事件发生率。结果　操作成功率、造影成功率和手术成功率均为 10 0 %。远端球囊阻塞时间平均 (8 1± 6 8)min ,所有患者均能良好耐受。 93 8%的患者吸引出肉眼可见的血栓 /斑块碎片 ,术中未出现因远端血管阻塞而引起的血液动力学或心电图、症状变化 ,未出现远端血管栓塞或无血流现象。住院期间和术后 30d内的心血管事件发生率均为 0。结论　该装置容易操作 ,可安全地应用于冠状动脉系统 ,有效防止AMI急诊介入治疗中可能出现的远端血管栓塞。

引用

页码：33 / 36

页数：4

共 12 条

[1]

No-reflow is an independent predictor of death and myocardial infarction after percutaneous coronary intervention. Resnic FS,Wainstein M,Lee MK,et al. American Heart Journal . 2003

[2]

Controlled reperfusion of the regionally ischemic myocardium with leukocyte depleted blood reduces stunning, the no-reflow phenomenon, and infarct size. Byme J,Smith WJ,Campbell A,et al. Cardiovascular Surgery . 1992

[3]

Progressive impairment of regional myocardial perfusion after initial restoration of postischemic blood flow. Ambrosio G,Weisman HF,Mannisi JA,et al. Circulation . 1989

[4]

Reperfusion of hibernating myocardium: contractile function, high-energy phosphate content,and myocyte injury after 3 hours of sublethal ischemia and 3 hours of reperfusion in the canine model. Przyklenk K,Bauer B,Kloner RA. American Heart Journal . 1992

[5]

Coronary embolization after balloon angioplasty or thrombolytic therapy: an autopsy study of 32 cases. Saber RS,Edwards WD,Bailey KR,et al. Journal of the American College of Cardiology . 1993

[6]

Primary coronary angioplasty versus intravenous streptokinase in acute myocardial infarction: differences in outcome during a mean follow-up of 18 months. Zijlstra F,de Boer MJ,Ottervanger JP,et al. Coronary Artery Disease . 1994

[7]

Incidence and treatment of"no-reflow"after percutaneous coronary intervention. Piana RN,Paik GY,Moscucci M,et al. Circulation . 1994

[8]

Features and outcome of noreflow after percutaneous coronary intervention. Abbo KM,Dooris M,Glazier S,et al. The American Journal of Cardiology . 1995

[9]

Does PTCA in acute myocardial infarction affect mortality and reinfarction rates? A quantitative overview(meta-analysis) of the randomized clinical trials. Michels KB,Yusuf S. Circulation . 1995

[10]

Unstable angina with fatal outcome: dynamic coronary thrombosis leading to infarction and/or sudden death.Autopsy evidence of recurrent mural thrombosis with peripheral embolization culminating in total vascular occlusion. Falk E. Circulation . 1985

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