应用自制带侧孔灌注球囊处理经皮冠状动脉介入术中无复流的方法

【摘要】 目的探讨应用自制带侧孔球囊处理经皮冠状动脉介入术(percutaneous coronary intervention,PCI)过程中无复流(no-reflow,NR)的安全性及有效性。方法 2011年1月至2012年1月在我院行PCI术中发生NR的患者,排除冠状动脉狭窄、夹层、痉挛或血栓。共23例,平均年龄(62.0±13.8)岁,其中急诊ST抬高急性心肌梗死(ST segment elevation myocardial infraction,STEMI)患者14例,择期PCI患者9例;NR发生于前降支11例,右冠状动脉8例,回旋支4例。应用自制带侧孔球囊在发生NR的冠脉内推注硝酸甘油及盐酸替罗非班,观察治疗前后靶血管心肌梗死溶栓试验(thrombolysis in myocardial infarction,TIMI)血流分级情况,STEMI患者术后心电图ST段回落(ST segment resolution,STR)情况,术后3d心电图ST-T变化情况,住院期间冠状动脉穿孔、夹层、血栓等并发症。术后1个月随访心电图,心脏超声射血分数(left ventricular eject... 更多还原

【Abstract】 Objective To assess the safety and effectiveness of self-made side hole balloon for treating no-reflow following percutaneous coronary intervention(PCI).Methods Twenty-three patients diagnosed with no-reflow during PCI from Jan.2012to Jan.2013 were enrolled.Residual stenosis,thrombosis,dissection,and spasm of coronary artery were excluded.The mean age of the 23patients was(62.0±13.8)years old.Of the 23patients 14had ST segment elevation myocardial infarction(STEMI),and 9underwent elective PCI.Th... 更多还原

【分类号】R654.33;R540.46;R619.9;R61;R540.41;R-0;R322.12;