冠脉介入治疗左主干病变临床分析
The Clinical Analysis of Left Main Coronary Artery Intervention

DOI: 10.12677/HJBM.2012.24007, PP. 28-30

Keywords: 冠状动脉左主干；介入治疗；临床结果
Left Main Coronary Artery, Interventional Therapy, Clinical Outcome

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的：研究无保护左主干(ULMCA)介入治疗(PCI)的近期安全性及有效性。方法：总结57例合并多支血管病变的ULMCA患者的支架植入术，分析其病变特征、手术成功率及随访结果。结果：即刻手术成功率达100%。分别于术后1个月、3个月、6个月、一年随访，无主要心脏事件发生。结论：对于心功能正常、左主干开口病变患者，PCI治疗是安全有效的。
Objective: To study short-term safety and efficacy of percutaneous coronary intervention (PCI) for unprotected left main coronary artery (ULMCA). Methods: Fifty-seven patients with multiple cardiac vessel diseases received ULMCA stent implantation of PCI. After PCI treatments, the lesion characteristics, success rate and follow-up outcomes were analyzed. Results: The immediate success rate was 100%. No major cardiac events were found following one month, three months, six months, and one year PCI treatments. Conclusions: PCI is a safe and effective treatment for the patients with normal heart function, but having ostial stenosis in left main coronary artery.

References

[1]	M. J. Conley, R. L. Ely, J. Kisslo, et al. The prognosis spectrum of left main stenosis. Circulation, 1978, 57: 947-952.
[2]	B. R. Brueren, J. M. Ernst, M. T. Suttorp, et al. Long term fol- low up after elective precutaneous coronary intervention for un- protected non-bifurcational left main stenosis: Is it time change the guideline? Heart, 2003, 89: 1336-1340.
[3]	S. G. Ellis, H. Tamai, M. Nobuyoshi, et al. Contemporary percu- taneous treatment of unprotected left main coronary stenosis: Initial results from a multicenter register analysis 1994-1996. Circulation, 1997, 96(11): 3867-3872.
[4]	吕树铮, 陈韵岱. 冠心病介入治疗经典病例解析[M]. 北京: 人民卫生出版社, 2005: 59-63.
[5]	S. J. Park, S. W. Park, M. K. Hong, et al. Long-term (three-year) outcomes after stenting of unprotected left main coronary artery stenosis in patients with normal left ventricu lar function. Ame- rican Journal of Cardiology, 2003, 91(1): 12-16.
[6]	徐世坤, 王齐兵, 葛均波等. 选择性支架置入术治疗无保护左主干病变的临床疗效分析[J]. 中国临床医学, 2006, 13(5): 708-710.
[7]	汝磊生等. 经桡动脉行无保护左主干病变介入治疗[J]. 心脏杂志, 2010, 22(1): 105.
[8]	吕树铮, 陈韵岱等. 选择性无保护左主干冠脉内支架术[J].海南医学, 2002, 13(12): 23-25.
[9]	T. Yamashita, T. Nishida, M. G. Adamian, et al. Bifurcation lesions: Two stents versus one stent-immediate and follow-up results. Journal of the American College of Cardiology, 2000, 35(5): 1145-1151.
[10]	T. Takagi, G. Stankovic, L. Finci, et al. Results and long term predictors of adverse clinical events after elective per cutaneous interventions on unprotected left main coronary artery. Circula- tion, 2002, 106(6): 698-702.

Full-Text