冠状动脉造影后即刻支架术与择期支架术的临床研究
冠状动脉造影,,冠状动脉造影；经皮冠脉介入治疗；经皮冠状动脉腔内成形术；支架,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 比较冠状动脉造影后即刻支架术与择期支架术的成功率和并发症发生率，从而探讨即刻支架术的临床应用价值。方法 对2005年1~12月在我科行冠状动脉造影后即刻支架术(即刻组，n=115例)和择期支架术(择期组，n=172例)患者的资料进行分析。结果 A型和B型病变的成功率和并发症率两组间差异无统计学意义(P>0.05)，而C型病变的成功率即刻组低于择期组(P<0.01)，而并发症率高于择期组(P=0.05)。结论 A型和B型病变冠状动脉造影后即刻支架术是临床可行的，而C型病变不宜冠状动脉造影后即刻支架术。因此，冠状动脉造影后即刻支架术有一定的临床应用价值。【关键词】 冠状动脉造影；经皮冠脉介入治疗；经皮冠状动脉腔内成形术；支架
Clinical study of immediate stenting and elective stenting after coronary angiography
SHEN Guozhang,SHEN Xiangqian,HU Xinqun,et al.
Department of Cardiology,The 2nd Xiangya Hospital,Central South University,Changsha 410011,China
【Abstract】 Objective To compare the success rate and complication rate of stenting immediately and selective stenting after coronary angiography, and to estimate the clinical evaluation of stenting immediately.Methods 115 patients who underwent stenting immediately after coronary angiography were enrolled in immediate group(group 1), and 172 patients on whom stenting and coronary angiography were performed in two different selective days were enrolled in selective group(group 2) in our catheter room during 2005. The clinical manifestations,target lesion characteristics and length and diameter of stent of two groups were similar.Results The success rates and complication rate types A and B lesions were not significantly different between two groups(P>0.05).The success rate of type C lesions in group 1 was lower than that in group 2(62.5% vs 86.0%,P=0.007).The complication rate of type C lesions in group 1 was higher than that in group 2(35.0% vs 17.5%,P=0.05).Conclusions Types A and B lesions were receivable to be performed stenting immediately and type C lesions were suitable to be performed it immediately after coronary angiography. So stenting immediately after coronary angiography has some extent of clinical evaluation. ......
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