药物洗脱支架治疗急性心肌梗死患者临床随访观察

被引：4

作者：

张瑶俊

陈绍良

田乃亮

叶飞

阚静

谢渡江

王海燕

机构：

[1] 江苏省南京市第一医院心内科

来源：

现代生物医学进展 | 2010年 / 10卷 / 23期

关键词：

急性心肌梗死; 药物洗脱支架; 经皮冠状动脉介入治疗;

D O I：

10.13241/j.cnki.pmb.2010.23.059

中图分类号：

R542.22 [];

学科分类号：

1002 ; 100201 ;

摘要：

目的:探讨药物洗脱支架在急性心肌梗死(AMI)入住我院CCU后行急诊经皮冠状动脉介入治疗(PCI)的安全性和有效性。方法:选择2007年1月至2007年12月因急性心肌梗死入住我院CCU的220例急性心肌梗死患者,其中于发病12小时内行急诊手术治疗的患者200例,急诊手术仅处理梗死相关血管的靶病变,均植入药物洗脱支架,评价手术成功率、并发症、随访期间心脏不良事件发生率、再狭窄率等。结果:200例患者急诊手术治疗均获得成功,植入支架数量为1.41±0.711枚,未发生与介入治疗有关的严重并发症,住院期间发生心源性死亡2例,非心源性死亡1例,无院内支架内血栓形成、再次心梗,临床随防7.3±1.9(5-15)个月,136例患者复查了冠状动脉造影,造影随访率72.3%,随访终点内死亡5例(死亡率2.66%),含心源性死亡3例,非心源性死亡2例,其中再发心肌梗死1例,6例患者进行了再次靶血管血运重建(3.19%)。结论:药物洗脱支架在急性心肌梗死患者行急诊PCI治疗中安全可行,且院内、术后7个月随访观察显示疗效显著,并明显降低靶血管再狭窄率。

引用

页码：4482 / 4484+4493 +4493

页数：4

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