应用小C臂X光机行经皮冠状动脉腔内成形术87例(摘要)
作者：郭金成 张学坤 张海滨 姚立云 李乃达 张立新 王乐丰
单位：北京市，通州区潞河医院 心内科(101149)
关键词：
中国循环杂志99zk29 目的：探讨移动式数字成像系统在经皮冠状动脉腔内成形术(PTCA)和支架置入术中应用的可行性和安全性。
方法：应用小C壁X光机以标准方法对87例冠心病患者进行了PTCA和冠状动脉内支架置入术。并对所有患者进行了(1～18)个月的随访。
结果：87例患者共扩张99支血管，112处病变，病例成功率95.4%，血管成功率94.0%,病变成功率93.1%。完全血运重建53例，部分血运重建34例。置入支架62枚，其中前降支36枚，回旋支9枚，右冠17枚。择期PTCA 65例，冠状动脉造影和PTCA术同时进行18例，挽救PTCA 2例，直接PTCA 2例。术中死亡1例，2枚支架脱落于冠状动脉内，均被摘出体外。边支闭塞2例，术后1天再梗塞1例，出现腹膜后巨大血肿行外科手术1例。随访时，心绞痛复发6例，原部位再发心肌梗塞1例，无死亡发生。
, 百拇医药
结论：小C臂X光机用于PTCA和支架置入术治疗是可行和相对安全的。
Percutaneous Transluminal Coronary Angioplasty by Using the Portable Fluoroscopic Imaging System (A Report of 87 Cases) (Abstract)
Department of Cardiology, Luhe Hospital, Beijing (101149)
Guo Jincheng, Zhang Xuekun, Zhang Haibin, et al.
Objective: To evaluate the feasibility and safety of percutaneous transluminal coronary angioplasty (PTCA) and intraccoronary stenting by using the portable fluoroscopic imaging system.
, 百拇医药
Methods: From January 1, 1988 to August 20, 1999, 87 patients with a presence of ≥75% diameter luminal narrowing in one or more of major epicardial vessels underwent PTCA and intracoronary stenting. Clinical follow up were performed 1～18 months after PTCA in all patients.
Results: PTCA was performed in 87 patients with 99 diseased vessels and 112 lesions, 36 stents were implanted into LAD, 9 stents into LCX and 17 stents into RCA. The clinical (patient), technical (vessel), and lesion success rate was achieved in 95.4%, 94.0%, and 93.1%, respectively. Fifty-three patietns had complete vessel revascularization of the ischemicrelated vessels and 34 patients had imcomplete vessel revascularization. Staged PTCA was performed in 65 patients, one-stage of coronary angiography and PTCA in 18 patients, salvage PTCA in 2 patients and direct PTCA in 2 patients. During PTCA, death occurred in one patients, 2 stents exited from the balloon before delivered to the target lesion were retrieved with microsnare retrieval system, side branch occlusion occurred in 2 patients, reinfarction in one after PTCA, and large post-peritoneal hematoma was observed and operation was performed in one. During a mean 12-month clinical follow-up, all patients survived. The angina recurrence rate was 6.90% (6 of 87 patients), one patients had reinfarction in primary lesion.
Conclusion: PTCA and intracoronary stenting by using portable fluoroscopic imaging system is effective and relative safe for the management of coronary artery disease., 百拇医药
单位：北京市，通州区潞河医院 心内科(101149)
关键词：
中国循环杂志99zk29 目的：探讨移动式数字成像系统在经皮冠状动脉腔内成形术(PTCA)和支架置入术中应用的可行性和安全性。
方法：应用小C壁X光机以标准方法对87例冠心病患者进行了PTCA和冠状动脉内支架置入术。并对所有患者进行了(1～18)个月的随访。
结果：87例患者共扩张99支血管，112处病变，病例成功率95.4%，血管成功率94.0%,病变成功率93.1%。完全血运重建53例，部分血运重建34例。置入支架62枚，其中前降支36枚，回旋支9枚，右冠17枚。择期PTCA 65例，冠状动脉造影和PTCA术同时进行18例，挽救PTCA 2例，直接PTCA 2例。术中死亡1例，2枚支架脱落于冠状动脉内，均被摘出体外。边支闭塞2例，术后1天再梗塞1例，出现腹膜后巨大血肿行外科手术1例。随访时，心绞痛复发6例，原部位再发心肌梗塞1例，无死亡发生。
, 百拇医药
结论：小C臂X光机用于PTCA和支架置入术治疗是可行和相对安全的。
Percutaneous Transluminal Coronary Angioplasty by Using the Portable Fluoroscopic Imaging System (A Report of 87 Cases) (Abstract)
Department of Cardiology, Luhe Hospital, Beijing (101149)
Guo Jincheng, Zhang Xuekun, Zhang Haibin, et al.
Objective: To evaluate the feasibility and safety of percutaneous transluminal coronary angioplasty (PTCA) and intraccoronary stenting by using the portable fluoroscopic imaging system.
, 百拇医药
Methods: From January 1, 1988 to August 20, 1999, 87 patients with a presence of ≥75% diameter luminal narrowing in one or more of major epicardial vessels underwent PTCA and intracoronary stenting. Clinical follow up were performed 1～18 months after PTCA in all patients.
Results: PTCA was performed in 87 patients with 99 diseased vessels and 112 lesions, 36 stents were implanted into LAD, 9 stents into LCX and 17 stents into RCA. The clinical (patient), technical (vessel), and lesion success rate was achieved in 95.4%, 94.0%, and 93.1%, respectively. Fifty-three patietns had complete vessel revascularization of the ischemicrelated vessels and 34 patients had imcomplete vessel revascularization. Staged PTCA was performed in 65 patients, one-stage of coronary angiography and PTCA in 18 patients, salvage PTCA in 2 patients and direct PTCA in 2 patients. During PTCA, death occurred in one patients, 2 stents exited from the balloon before delivered to the target lesion were retrieved with microsnare retrieval system, side branch occlusion occurred in 2 patients, reinfarction in one after PTCA, and large post-peritoneal hematoma was observed and operation was performed in one. During a mean 12-month clinical follow-up, all patients survived. The angina recurrence rate was 6.90% (6 of 87 patients), one patients had reinfarction in primary lesion.
Conclusion: PTCA and intracoronary stenting by using portable fluoroscopic imaging system is effective and relative safe for the management of coronary artery disease., 百拇医药