冠状动脉内支架的临床应用

被引：15

作者：

高炜

朱国英

霍勇

洪涛

机构：

[1] 北京医科大学第一医院心内科!

来源：

中国介入心脏病学杂志 | 1997年 / 01期

关键词：

冠状动脉支架; 血管成形术; 经皮.经腔;

D O I：

暂无

中图分类号：

R541 [心脏疾病];

学科分类号：

摘要：

1992年9月至1996年9月，我院共开展冠状动脉内支架置入术138例，将186枚支架置入152支冠状动脉的167处病变。其中左主干病变占0．8％，左前降支50．8％，左回旋支18．3％，右冠状动脉为30．1％。93．7％为B或C型病变。置入的支架类型包括：Palmaz－Schatz支架，Gianturco－Roubin支架，NIR支架，Cordis支架，Wallstent，Multi－link支架，Wiktor支架及Gianturco－RoubinⅡ支架等8种。手术成功率97．8％，狭窄程度由术前的89．3％降至－5．0±8．5％，平均最小血管直径由0．33mm增至3．22mm。主要并发症率为0．72％（1例急性心肌梗塞），严重周围血管并发症1例。我们认为，在有经验的心脏中心可以安全而有效地开展冠状动脉支架术，并可酌情选用不同类型的支架，手术成功率高，并发症率低。

引用

页码：1 / 4

页数：4

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