《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (09): 851-853.

• 临床研究 • 上一篇    下一篇

无保护左主干病变介入治疗近远期疗效分析

杨菲菲; 王禹; 张大为; 张国明; 张永明; 张威; 张慧; 荆晶; 王立军   

  1. 中国人民解放军总医院心内科,北京市 100853
  • 收稿日期:2008-06-11 出版日期:2008-09-01 发布日期:2008-09-01

Efficacy of Stenting on Lesions of Unprotected Main Stem of Left Coronary Artery

YANG Fei-fei, WANG Yu, ZHANG Da-wei, et al   

  1. Department of Cardiology, General Hospital of PLA, Beijing 100853, China
  • Received:2008-06-11 Published:2008-09-01 Online:2008-09-01

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摘要： 目的评价无保护左冠状动脉主干(LMCA)支架治疗的安全性和有效性。方法对126例无保护LMCA病变接受介入治疗患者进行回顾性分析。结果共植入151枚支架。所有LMCA支架植入均获完全血流重建,术中无急性心梗和死亡发生。住院期间主要不良心脏事件(MACE)3例,均为急性心肌梗死,其中行靶病变血管重建术(TLR)1例,死亡2例。随访1～43(9.86±8.46)个月,总MACE 15例(12.1%),其中TLR 12例(再次PCI 9例,冠脉搭桥术3例),死亡3例。40例术后进行冠脉造影复查,19例发生了再狭窄,术中有回旋支开口部受累者再狭窄率增加。不同病变部位、手术方式对支架内再狭窄无显著影响。结论经选择的无保护LMCA病变,PCI治疗是可行和安全的,可取得较好的近远期结果。

关键词: 冠状动脉狭窄, 支架, 血管成形术, 左主干冠状动脉

Abstract: Objective To evaluate the safety and efficacy of stenting on unprotected left main coronary artery(LMCA) lesions.Methods 126 patients underwent unprotected LMCA stenting were analyzed retrospectively.Results 151 coronary stents were deployed in 126 patients without acute myocardial infarction(AMI) and death.Inhospital major adverse cardiac events(MACE) developed in 3 cases,including 3 cases of AMI,1 case of target lesion revascularization(TLR) and 2 died.The patients were followed up for 1～43 months.MACE developed in 15 cases,including 12 cases of TLR,3 cases died.Angiography was performed in 40 cases during follow-up,the restenosis happened in 19 cases.The focus or the type of operation didn't influence the restenosis rate.Conclusion Selective stenting for left main coronary artery disease is safe and feasible.It can bring good in-hospital and long-term outcomes.

Key words: coronary stenosis, stents, angioplasty, left main coronary artery