冠状动脉支架330例报告：近期及远期的治疗评价(摘要)
作者：周旭晨 方唯一 郑晓群 朱皓 王永忠 旅朝霞 刘俊 吕田 陈桂香 王奎英 王志贤 路振家 于文信 宋道岭
单位：辽宁省大连市，大连医科大学第一临床学院 心内科(116011)
关键词：
中国循环杂志99zk49 目的：评价冠状动脉内支架近远期的效果。
方法：我院自1996年5月～1999年5月共行冠状动脉支架术330例。
结果和结论：应用支架Nir,ACS Multilink,Wiktor i,B-stent,XT-stent,Jomed-stent,Cross Flex,J-J stent,AVE-GFX,Cook JR-II共10种支架。对330例患者的施治结果显示，手术成功率、临床成功率分别为98.0%和94.6%,无紧急冠状动脉旁路移植病例。手术死亡率和临床死亡率分别为0%和1.2%。收治98例急性心肌梗塞患者除4例临床死亡外均全部存活。56例冠状动脉高度狭窄不稳定性心绞痛患者施术后成功缓解了病情。管腔的最小开放直径由术前的0.68±0.42 mm增至术后的3.32±0.45 mm,管腔径增大了2.64±0.03 mm,术前狭窄由(86±14)%降至(6±11)%。对急性心肌梗塞的血栓性病变(25%)经支架治疗后仅1例出现急性再闭塞。对11例左主干病变进行了快速球囊扩张后置入支架治疗，成功率100%。并发症总发生率18%，临床再狭窄发生率7.8%(26/330)。对108例患者进行了临床随访，糖尿病和非糖尿病病人比较，再狭窄发生率无明显变化，糖尿病不是支架再狭窄的预测危险因子。
, 百拇医药
Coronary Artery Stenting in 330 Cases: Evaluation on the Short and Long-Term Results (Abstract)
Department of Cardiology, The First Hospital of Dalian Medical University, Dalian (116011), Liaoning
Zhou Xuchen, Fang Weiyi, Zheng Xiaoqun, et al.
Objective: To evaluate the short- and long-term results of coronary artery stenting in 330 cases.
Methods: We performed 330 cases of coronary stenting from May 1996 to May 1999.
, 百拇医药
Results and Conclusion: Ten sorts of stents were used in those cases: Nir, ACS Multi link, Wiktor i, B-stent, XT-stent, Jomed-stent, Cross Flex, J-J stent, AVE-GFX stent and Cook JR-II. The acute operational successful rate and clinical successful rate were 98.0% and 94.6% respectively. The operational death rate and clinical death rate were 0% and 1.2% respectively. Ninty-eight AMI cases were successfuly treated with stents, only 4 cases died 3 days to 1 month after the stenting. Fifty-six patients with unstable angina pectoris were stented and the symptons were successfuly relieved. The average stenotic vessel diameter was dilated from 0.68±0.42 mm pre-stenting to 3.32±0.45 mm after stenting. The vessel diameter was increased to 2.64±0.03 mm. The percent age of stenosis is decreased from (86±14)% pre-stenting to (6±11)% after stenting. The thrombotic lesions (25%) in AMI cases were treated with stents, only 1 case complicated with acute occlusion. We also used the rapid pre-dilatation method to treat LMT lesions with stent, and the successful rate were 100%. One hundred and eight patients were foloowed up for 14.3±7.6 months. The results showed that restenosis rate was 7.8% (26/330), and diabetic melitus was not the predict risk factor in stented restenosis cases., 百拇医药
单位：辽宁省大连市，大连医科大学第一临床学院 心内科(116011)
关键词：
中国循环杂志99zk49 目的：评价冠状动脉内支架近远期的效果。
方法：我院自1996年5月～1999年5月共行冠状动脉支架术330例。
结果和结论：应用支架Nir,ACS Multilink,Wiktor i,B-stent,XT-stent,Jomed-stent,Cross Flex,J-J stent,AVE-GFX,Cook JR-II共10种支架。对330例患者的施治结果显示，手术成功率、临床成功率分别为98.0%和94.6%,无紧急冠状动脉旁路移植病例。手术死亡率和临床死亡率分别为0%和1.2%。收治98例急性心肌梗塞患者除4例临床死亡外均全部存活。56例冠状动脉高度狭窄不稳定性心绞痛患者施术后成功缓解了病情。管腔的最小开放直径由术前的0.68±0.42 mm增至术后的3.32±0.45 mm,管腔径增大了2.64±0.03 mm,术前狭窄由(86±14)%降至(6±11)%。对急性心肌梗塞的血栓性病变(25%)经支架治疗后仅1例出现急性再闭塞。对11例左主干病变进行了快速球囊扩张后置入支架治疗，成功率100%。并发症总发生率18%，临床再狭窄发生率7.8%(26/330)。对108例患者进行了临床随访，糖尿病和非糖尿病病人比较，再狭窄发生率无明显变化，糖尿病不是支架再狭窄的预测危险因子。
, 百拇医药
Coronary Artery Stenting in 330 Cases: Evaluation on the Short and Long-Term Results (Abstract)
Department of Cardiology, The First Hospital of Dalian Medical University, Dalian (116011), Liaoning
Zhou Xuchen, Fang Weiyi, Zheng Xiaoqun, et al.
Objective: To evaluate the short- and long-term results of coronary artery stenting in 330 cases.
Methods: We performed 330 cases of coronary stenting from May 1996 to May 1999.
, 百拇医药
Results and Conclusion: Ten sorts of stents were used in those cases: Nir, ACS Multi link, Wiktor i, B-stent, XT-stent, Jomed-stent, Cross Flex, J-J stent, AVE-GFX stent and Cook JR-II. The acute operational successful rate and clinical successful rate were 98.0% and 94.6% respectively. The operational death rate and clinical death rate were 0% and 1.2% respectively. Ninty-eight AMI cases were successfuly treated with stents, only 4 cases died 3 days to 1 month after the stenting. Fifty-six patients with unstable angina pectoris were stented and the symptons were successfuly relieved. The average stenotic vessel diameter was dilated from 0.68±0.42 mm pre-stenting to 3.32±0.45 mm after stenting. The vessel diameter was increased to 2.64±0.03 mm. The percent age of stenosis is decreased from (86±14)% pre-stenting to (6±11)% after stenting. The thrombotic lesions (25%) in AMI cases were treated with stents, only 1 case complicated with acute occlusion. We also used the rapid pre-dilatation method to treat LMT lesions with stent, and the successful rate were 100%. One hundred and eight patients were foloowed up for 14.3±7.6 months. The results showed that restenosis rate was 7.8% (26/330), and diabetic melitus was not the predict risk factor in stented restenosis cases., 百拇医药