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无保护左主干病变患者32例经皮冠状动脉介入治疗临床观察

Clinical observation of percutaneous coronary intervention in 32 patients with unprotected left main coronary artery disease
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摘要 目的:评估无保护左主干冠状动脉(UPLMCA)病变患者行经皮冠脉介入治疗(PCI)的安全性和有效性。方法:回顾分析2009年9月-2013年8月完成的32例行PCI治疗的UPLMCA病变患者的临床资料。结果:32例UPLMCA病变患者中非分叉病变11例,分叉病变21例;所有患者均接受了支架植入术,其中单支架23例,单支架+球囊对吻5例,双支架4例;术中发生迷走反射和边支闭塞致小面积心肌梗死各1例,另1例(SYNTAX评分为37分)于PCI术后4 d死于支架内亚急性血栓形成;出院后随访5-51(22±13)个月,随访率100%,随访期间死亡1例(3%)、发现再狭窄后行靶血管重建3例(9%);住院期间及随访期间总主要心脑血管不良事件发生率19%(6/32)。结论:经选择的UPLMCA病变患者行PCI安全可行,近、中期疗效良好。 AIM: To evaluate the safety and efficacy of percutaneous coronary intervention( PCI) for unprotected left main coronary artery( UPLMCA) disease. METHODS: Clinical data of 32 patients with UPLMCA disease who received PCI from September 2009 to August 2013 were analyzed retrospectively.RESULTS: Of the 32 cases,there were 11 cases of non-bifurcation lesion and 21 cases of bifurcation lesion. Stent implantations were performed in all patients,including 23 cases of single stent,five cases of single stent plus kissing balloon and four cases of double stents. Intraoperative vagal reflex occurred in one case and side branch occlusion-induced small area myocardial infarction occurred in one case. One patient( SYNTAX score 37) died from subacute stent thrombosis 4 days after PCI. All patients were followed up for 21. 53 ± 12. 89 months. Death occurred in one case( 3. 13%) and target vascular remodeling because of stent restenosis in three cases( 9. 38%) during the follow-up period. The total occurrence of major adverse cardiac and cerebrovascular events during hospitalization and follow-up periods was 18. 75%( 6 /32).CONCLUSION: PCI for selected patients with UPLMCA disease is safe and feasible and produces good short-and medium-term efficacy.
出处 《心脏杂志》 CAS 2015年第2期161-164,共4页 Chinese Heart Journal
关键词 无保护左主干 经皮冠状动脉介入治疗 unprotected left main coronary artery percutaneous coronary intervention
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参考文献15

  • 1李俭强,李为民,薛竟宜,李悦.无保护左主干病变介入治疗并发症防治进展[J].中国介入心脏病学杂志,2013,21(1):53-55. 被引量:6
  • 2杨菲菲,王禹.药物支架时代无保护左主干病变介入治疗的新策略[J].中国循环杂志,2009,24(3):236-238. 被引量:6
  • 3Taggart DP, Kaul S, Boden WE, et al. Revascularization for unpro- tected left main stem coronary artery stenosis stenting or surgery [ J ]. J Am Coll Cardiol, 2008, 51 ( 9 ) : 885 - 892.
  • 4Mark DB, Nelson CL, Califf RM, et al. Continuing evolution of therapy for coronary artery disease, initial results from the era of cor- onary angioplasty [ J ]. Circulation, 1994, 89 (5) :2015 - 2025.
  • 5Sianos G, Morel MA, Kappetein AP, et al. The SYNTAX score : an agiographic tool grading the complexity of coronary artery disease [ J ]. Eurolntervention, 2005, 1 (2) :219 - 227.
  • 6经皮冠状动脉介入治疗指南(2009)[J].中华心血管病杂志,2009,37(1):4-25. 被引量:546
  • 7Serruys PW, Morice MC, Kappetein AP, et al. Percutaneous coro- nary intervention versus coronary-artery bypass grafting for severe coronary artery disease[ J]. N Engl J Med, 2009, 360(10) :961 - 972.
  • 8Kappetein AP, Feldman TE, Mack MJ, et al. Comparison of coro- nary bypass surgery with drug-eluting stenting for the treatment of left main and/or three-vessel disease: 3-year follow-up of the SYN- TAX trial[J]. Eur Heart J, 2011,32(17) :2125 -2134.
  • 9Chieffo A, Magni V, Latib A, et al. 5-Year outcomes following per- cutaneous coronary intervention with Drug-Eluting stent implantation versus coronary artery bypass graft for unprotected left main coronary artery lesions(the Milan experience) [ J 3. JACC Cardiovasc Interv, 2010, 3(6) :595 -601.
  • 10Chieffo A, Morici N, Maisano F, et al. Percutaneous treatment with drug-eluting stent implantation versus bypass surgery for unpro- tected left main stenosis - A single-center experience [ J ]. Circula- tion, 2006, 113(21 ) :2542 -2547.

二级参考文献18

  • 1CHANCE研究组.无保护左主干病变支架置入术预后及影响因素的分析——中国无保护左主干病变支架置入术注册(CHANCE)研究[J].中华心血管病杂志,2005,33(3):210-215. 被引量:19
  • 2GE Lei,John Cosgrave,Ioannis Iakovou,QIAN Ju-ying,Pierfrancesco Agostoni,Giuseppe M. Sangiorgi,Flavio Airoldi,Iassen Michev,Alaide Chieffo,Nicola Corvaja,Antonio Colombo,GE Jun-bo.Long-term outcomes following drug-eluting stent implantation in unprotected left main bifurcation lesions[J].Chinese Medical Journal,2007(7):545-551. 被引量:5
  • 3Eric L Eisenstein, DBA,Kevin J. Anstrom, PhD,David F. Kong, MD,Linda K. Shaw, MS,Robert H. Tuttle, MSPH,Daniel B. Mark, MD, MPH,Judith M. Kramer, MD, MS,Robert A. Harrington, MD,David B. Matchar, MD,David E. Kandzari, MD 1,Eric D. Peterson, MD, MPH,Kevin A. Schulman, MD,Robert M. Califf, MD,李呈亿(译),David E. Kandzari, MD.氯吡格雷的使用与药物洗脱支架植入后远期临床结果[J].美国医学会杂志(中文版),2007,26(3):131-139. 被引量:59
  • 4Levine GN, Bates ER, Blankenship JC, et al. 2Oll ACCF! AHA/SCAI Guideline for Percutaneous Coronary Intervention: a report of the American College of Cardiology Foundation/ American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. Circulation, 2011, 124 : e574-e651.
  • 5Cheng CI, Wu CJ, Hsieh YK, et al. Percutaneous coronaryintervention for iatrogenic left main coronary artery dissection. Int J Cardiol, 2008, 126 : 177-182.
  • 6Eshtehardi P, Adorjan P, Togni M, et al. latrogenic left main coronary artery dissection : incidence, classification, management, and long-term follow-up. Am Heart J, 2010, 159 : 1147-1153.
  • 7Battikh K, Rihani R, Lemahieu JM. Acute stent recoil in the left main coronary artery treated with additional stenting. J Invasive Cardiol, 2003, 15 : 39-42.
  • 8Ratib K, Doshi SN, Townend JN. Double-stenting of an ostial left main-stem lesion for elastic recoil. Int J Cardiol, 2005, 102 : 357-358.
  • 9Parakh N, Singh S, Math RS, et al. Catheter-induced left main coronary artery spasm. J Cardiovasc Med, 2009, 10 : 288-289.
  • 10Jung KY, Kang TS. A Case of Acute Myocardial Infarction With ST-Segment Elevation in a Lead Augmented Right Vector Caused by a Left Main Coronary Artery Vasospasm. Korean Cire J, 2012, 42 : 50-53.

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