血管闭塞_血管成形术，经腔，经皮冠状动脉

冠状动脉完全闭塞病变的介入治疗

http://www.100md.com 《中华心血管病杂志》 1999年第2期

血管闭塞|血管成形术，经腔，经皮冠状动脉|支架,关键词：

     黄超联沈珠军朱文玲韩丁姜秀春 100730 中国医学科学院中国协和医科大学北京协和医院心内科中华心血管病杂志 1999 0 27 2

    关键词：血管闭塞；血管成形术，经腔，经皮冠状动脉；支架期刊 zhxxgbzz 0 冠心病研究 fur -->

【摘要】目的观察急性和慢性冠状动脉闭塞经皮冠状动脉腔内成形术(PTCA)治疗的效果。方法 32例患者共38支完全闭塞血管进行了PTCA或PTCA+支架治疗。结果 12例急性心肌梗塞(AMI)其中4例直接和8例行补救性PTCA均成功(12/12,100%)；20例择期PTCA中14例成功(70%)。结论血管闭塞时间越长，PTCA成功率越低。本组病例无一例出现严重并发症，表明冠状动脉完全闭塞行PTCA+支架治疗是安全有效的。

The interventiontherapy on total coronary artery occlusion HUANG Chaolian, SHEN Zhujun, ZHU Wenling, et al.Peking Union Medical College Hospital, Beijing 100730

【 Abstract 】 Objective The effects of PTCA on acute andchronic total coronary artery occlusions were studied.Methods PTCA or stent implantation wereperformed in 32 patients with 38 total vessel occlusion. Results The results showed 100% successrate in 4 direct and 8 rescure PTCA for acute myocardial infarction and 70% success ratein 20 selective PTCA. Conclusion It was found that the longer occlusion of the lowersuccess in PTCA intervention. No severe complications occurred during this procedure.

【 Keywords 】 arteryocclusion angioplasty,transluminal, percutaneous cononary stent

急性和慢性冠状动脉完全闭塞急性可导致心肌缺血坏死,慢性闭塞可引起心肌供血不足 ......

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