CAJ | 학술논문

目的:评价经桡动脉途径应用Balloon Crush技术处理冠脉分叉病变的临床效果及安全性.方法:本研究入选的57例1型冠脉分叉病变患者中,22例患者经桡动脉途径选用Balloon Crush技术处理(Balloon Crush组),另35例患者选择标准Crush技术处理(标准Crush组),观察两组患者的手术成功率、最终球囊对吻扩张的完成情况、手术时间、造影剂用量以及随访6个月时严重心脏不良事件的发生率.结果:Balloon Crush组患者全部经桡动脉途径成功接受冠脉介入治疗,其中Balloon Crush组患者完成最终球囊对吻扩张的成功率为91.0%;标准Crush组患者成功率为77.1%,25.7%的患者因无法经桡动脉途径完成操作而改为股动脉途径;术后6个月Balloon Crush组患者严重心脏不良事件的发生率为9.1%,标准Crash组发生率为17.1%,两组间无显著性差异;在手术时间及造影剂用量上,两组间差异无统计学意义.结论:Balloon Crush技术适用于桡动脉途径冠脉分叉病变的处理,且具有较好的临床效果和安全性.
목적:평개경뇨동맥도경응용Balloon Crush기술처리관맥분차병변적림상효과급안전성.방법:본연구입선적57례1형관맥분차병변환자중,22례환자경뇨동맥도경선용Balloon Crush기술처리(Balloon Crush조),령35례환자선택표준Crush기술처리(표준Crush조),관찰량조환자적수술성공솔、최종구낭대문확장적완성정황、수술시간、조영제용량이급수방6개월시엄중심장불량사건적발생솔.결과:Balloon Crush조환자전부경뇨동맥도경성공접수관맥개입치료,기중Balloon Crush조환자완성최종구낭대문확장적성공솔위91.0%;표준Crush조환자성공솔위77.1%,25.7%적환자인무법경뇨동맥도경완성조작이개위고동맥도경;술후6개월Balloon Crush조환자엄중심장불량사건적발생솔위9.1%,표준Crash조발생솔위17.1%,량조간무현저성차이;재수술시간급조영제용량상,량조간차이무통계학의의.결론:Balloon Crush기술괄용우뇨동맥도경관맥분차병변적처리,차구유교호적림상효과화안전성.
Objective To evaluate the efficacy and safety of balloon crush technique used in trans-radial coronary intervention for bifurcation coronary lesion.Methods Fifty-seven patients with type I coronary bifurcation lesion were recruited in this study,22 cases received trans-radial balloon crush technique(balloon crush group),another 35 cases received standard crush technique(standard crush group).The success rate of operation,the rate of final kissing balloon post-dilatation after stenting,operation duration,the volume of contrast agent and the incidence of major adverse cardiac events(MACE)when followed up for 6 months were all recorded.Results In balloon crush group,all patients received coronary intervention therapy by trans-radial approach successfully and the rate of final kissing balloon post-dilatation after stenting was 91.0%;instandard crush group the success rate was77.1%,25.7%patients that unable to perform operation by trans-radial approach received operation by femoral artery approach instead;after 6 months,the incidence of MACE Waft 9.1%in balloon crush group,and it was 17.1%in standard crush group,there were no significant difference in the MACE incidence,operation duration and the volume of contrast agent between two groups.Conclusion Balloon crush technique may be suitable for treating coronary bifurcation lesions by tralm-radial approach with its good clinical efficiaey and safety.