中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2015年
10期
1070-1073
,共4页
官洪山%乔树宾%杨跃进%陈纪林%吴永健%秦学文%刘海波%慕朝伟%高展
官洪山%喬樹賓%楊躍進%陳紀林%吳永健%秦學文%劉海波%慕朝偉%高展
관홍산%교수빈%양약진%진기림%오영건%진학문%류해파%모조위%고전
冠状血管%支架%血管成形术,经腔,经皮冠状动脉
冠狀血管%支架%血管成形術,經腔,經皮冠狀動脈
관상혈관%지가%혈관성형술,경강,경피관상동맥
Coronary Vessels%Stent%Angioplasty,transluminal,percutaneous coronary
目的 回顾性分析80岁及以上患者无保护左主干病变患者的临床治疗情况,观察手术的安全性、有效性,近期疗效. 方法 收集80岁及以上无保护左主干患者的临床资料,手术操作、手术前后的临床与影像学结果及住院和出院1年随访期间的主要心脏不良事件的发生情况. 结果 36例无保护左主干患者纳入研究,病变累及开口6例、体部10例、口部+体部3例、末端分支14例、左主干全程3例.所有病例成功完成经皮冠状动脉支架术,不完全血运重建35例,完全血运重建1例.在1年随访期间,1例患者术后2个月支架内再狭窄,再次药物支架置入,1年时仍有心绞痛发作;其余35例患者无心绞痛发作,无心血管事件发生. 结论 对于不愿行冠状动脉旁路移植术或有手术禁忌的80岁及以上无保护左主干病变患者,支架置入可能是相对安全选择.
目的 迴顧性分析80歲及以上患者無保護左主榦病變患者的臨床治療情況,觀察手術的安全性、有效性,近期療效. 方法 收集80歲及以上無保護左主榦患者的臨床資料,手術操作、手術前後的臨床與影像學結果及住院和齣院1年隨訪期間的主要心髒不良事件的髮生情況. 結果 36例無保護左主榦患者納入研究,病變纍及開口6例、體部10例、口部+體部3例、末耑分支14例、左主榦全程3例.所有病例成功完成經皮冠狀動脈支架術,不完全血運重建35例,完全血運重建1例.在1年隨訪期間,1例患者術後2箇月支架內再狹窄,再次藥物支架置入,1年時仍有心絞痛髮作;其餘35例患者無心絞痛髮作,無心血管事件髮生. 結論 對于不願行冠狀動脈徬路移植術或有手術禁忌的80歲及以上無保護左主榦病變患者,支架置入可能是相對安全選擇.
목적 회고성분석80세급이상환자무보호좌주간병변환자적림상치료정황,관찰수술적안전성、유효성,근기료효. 방법 수집80세급이상무보호좌주간환자적림상자료,수술조작、수술전후적림상여영상학결과급주원화출원1년수방기간적주요심장불량사건적발생정황. 결과 36례무보호좌주간환자납입연구,병변루급개구6례、체부10례、구부+체부3례、말단분지14례、좌주간전정3례.소유병례성공완성경피관상동맥지가술,불완전혈운중건35례,완전혈운중건1례.재1년수방기간,1례환자술후2개월지가내재협착,재차약물지가치입,1년시잉유심교통발작;기여35례환자무심교통발작,무심혈관사건발생. 결론 대우불원행관상동맥방로이식술혹유수술금기적80세급이상무보호좌주간병변환자,지가치입가능시상대안전선택.
Objective To retrospectively analyze the safety and short-term efficacy of percutaneous coronary intervention in octogenarians (aged ≥ 80 years) with unprotected left main coronary artery disease (ULMCA).Methods Clinical data of octogenarians with ULMCA undergoing stent implantation were selected.Clinical and radiographic outcomes before and after treatment,and major adverse cardiac events (MACE) during admission and one year follow-up period were collected.Results A total of 36 octogenarians with ULMCA undergoing percutaneous coronary intervention (PCI) were enrolled in this study.Lesions involved ostium (6 cases),shaft (10cases),both ostium and bifurcation (3 cases),bifurcation (14 cases) and diffuse (3 cases).All patients successfully received stent implantation,with incomplete reconstruction of blood supply in 35 cases and complete reconstruction of blood supply in 1 case.During a one year follow-up period,recurrent angina pectoris was noted in one patient 2 months after PCI,and angina pectoris remained after re-stent within one year.No angina pectoris and MACE occurred in the other 35 patients.Conclusions Stent implantation may be relatively safely for the treatment of ULMCA in octogenarians who refuse or are unsuitable for coronary artery bypass grafting.
