论文部分内容阅读
目的 评价急诊冠状动脉 (冠脉 )内支架术治疗急性心肌梗死 (AMI)的安全性和有效性。方法 :对 12 6例AMI患者行急诊冠脉内支架术 ,术后临床随访 3～ 18个月。结果 12 6例患者中 ,手术成功 12 2例 (成功率为 96 .8% )。 12 6例 12 7支梗死相关动脉置入 14 1枚支架 ,其中左主干 2例、前降支 6 2例、左回旋支 2 3例、右冠状动脉 39例。术中死亡 1例 ,另 1例术后一周死于泵衰竭。随访期间 2 2例 ( 17.4% )再发心绞痛或经造影证实为再狭窄 ,2例( 1.6 % )发生AMI。随访期间心脏事件发生率为 19% ( 2 4 12 6 )。结论 急诊冠脉支架术治疗AMI成功率高 ,并发症低 ,临床疗效确切
Objective To evaluate the safety and efficacy of emergency coronary artery (coronary) stenting in the treatment of acute myocardial infarction (AMI). Methods: Twelve patients with AMI underwent emergency coronary stenting. The patients were followed up for 3 to 18 months. Results Among 12 6 patients, 122 cases were successfully operated (96.8% success rate). In 12 6 cases of infarction-related arteries, 14 stents were implanted, including 2 cases of left main trunk, 62 cases of anterior descending coronary artery, 23 cases of left circumflex artery and 39 cases of right coronary artery. One patient died during operation, and the other died of pump failure one week after operation. During the follow-up period, 22 patients (17.4%) had recurrent angina or confirmed by angiography as restenosis and 2 patients (1.6%) had AMI. The rate of cardiac events during follow-up was 19% (2 4 12 6). Conclusion The success rate of AMI in emergency coronary stenting is high, the complication is low and the curative effect is correct