冠脉介入治疗左主干病变临床分析
The Clinical Analysis of Left Main Coronary Artery Intervention
DOI: 10.12677/HJBM.2012.24007, PDF, HTML, XML, 下载: 3,185  浏览: 10,653 
作者: 丁守良*, 张 华, 杨星昌, 马兰香:武警陕西省总队医院心脏中心
关键词: 冠状动脉左主干介入治疗临床结果Left Main Coronary Artery; Interventional Therapy; Clinical Outcome
摘要: 目的:研究无保护左主干(ULMCA)介入治疗(PCI)的近期安全性及有效性。方法:总结57例合并多支血管病变的ULMCA患者的支架植入术,分析其病变特征、手术成功率及随访结果。结果:即刻手术成功率达100%。分别于术后1个月、3个月、6个月、一年随访,无主要心脏事件发生。结论:对于心功能正常、左主干开口病变患者PCI治疗是安全有效的。
Abstract: Objective: To study short-term safety and efficacy of percutaneous coronary intervention (PCI) for unprotected left main coronary artery (ULMCA). Methods: Fifty-seven patients with multiple cardiac vessel diseases received ULMCA stent implantation of PCI. After PCI treatments, the lesion characteristics, success rate and follow-up outcomes were analyzed. Results: The immediate success rate was 100%. No major cardiac events were found following one month, three months, six months, and one year PCI treatments. Conclusions: PCI is a safe and effective treatment for the patients with normal heart function, but having ostial stenosis in left main coronary artery.
文章引用:丁守良, 张华, 杨星昌, 马兰香. 冠脉介入治疗左主干病变临床分析[J]. 生物医学, 2012, 2(4): 28-30. http://dx.doi.org/10.12677/HJBM.2012.24007

参考文献

[1] M. J. Conley, R. L. Ely, J. Kisslo, et al. The prognosis spectrum of left main stenosis. Circulation, 1978, 57: 947-952.
[2] B. R. Brueren, J. M. Ernst, M. T. Suttorp, et al. Long term fol- low up after elective precutaneous coronary intervention for un- protected non-bifurcational left main stenosis: Is it time change the guideline? Heart, 2003, 89: 1336-1340.
[3] S. G. Ellis, H. Tamai, M. Nobuyoshi, et al. Contemporary percu- taneous treatment of unprotected left main coronary stenosis: Initial results from a multicenter register analysis 1994-1996. Circulation, 1997, 96(11): 3867-3872.
[4] 吕树铮, 陈韵岱. 冠心病介入治疗经典病例解析[M]. 北京: 人民卫生出版社, 2005: 59-63.
[5] S. J. Park, S. W. Park, M. K. Hong, et al. Long-term (three-year) outcomes after stenting of unprotected left main coronary artery stenosis in patients with normal left ventricu lar function. Ame- rican Journal of Cardiology, 2003, 91(1): 12-16.
[6] 徐世坤, 王齐兵, 葛均波等. 选择性支架置入术治疗无保护左主干病变的临床疗效分析[J]. 中国临床医学, 2006, 13(5): 708-710.
[7] 汝磊生等. 经桡动脉行无保护左主干病变介入治疗[J]. 心脏杂志, 2010, 22(1): 105.
[8] 吕树铮, 陈韵岱等. 选择性无保护左主干冠脉内支架术[J].海南医学, 2002, 13(12): 23-25.
[9] T. Yamashita, T. Nishida, M. G. Adamian, et al. Bifurcation lesions: Two stents versus one stent-immediate and follow-up results. Journal of the American College of Cardiology, 2000, 35(5): 1145-1151.
[10] T. Takagi, G. Stankovic, L. Finci, et al. Results and long term predictors of adverse clinical events after elective per cutaneous interventions on unprotected left main coronary artery. Circula- tion, 2002, 106(6): 698-702.