M el Setiha, M el Gamal, J Koolen, N Pijls, H Bonnier, R Michels
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引用次数: 10
摘要
未标记:15例急性心肌梗死(AMI) PTCA不成功的患者植入冠状动脉内支架。11例患者的支架血管为左前降支(LAD)， 3例为右冠状动脉(RCA)， 1例为左前降支静脉旁路移植术。共植入16个支架(15个Palmaz Schatz, Johnson & Johnson;1 .维克托，美敦力)。随访:1例患者在支架植入术后10天因肾功能衰竭和心源性休克死亡。2例患者在支架植入术后5、15天发生亚急性血栓形成;两名患者均成功接受了紧急冠状动脉旁路移植术。其余12例患者在平均随访18.7±4.1个月后无重大缺血事件(死亡、AMI和进一步的血运重建)。我们得出结论，PTCA失败后AMI冠状动脉内支架植入术的长期结果是有利的。
Coronary stenting for failed angioplasty in acute myocardial infarction.
Unlabelled: Intracoronary stents were implanted in 15 patients after unsuccessful PTCA in the setting of acute myocardial infarction (AMI). The stented vessel was the left anterior descending (LAD) in 11 patients, the right coronary artery (RCA) in 3 patients, and a venous bypass graft to the LAD in a single patient. A total of 16 stents were implanted (15 Palmaz Schatz, Johnson and Johnson; and 1 Wiktor, Medtronic).
Follow-up: 1 patient died 10 days after stent implantation as a result of renal failure and cardiogenic shock. Subacute thrombosis occurred in 2 patients, 5 and 15 days after stent implantation; both underwent successful emergency coronary artery bypass grafting (CABG). The remaining 12 patients were free from major ischemic events (death, AMI, and further revascularization) after a mean follow-up of 18.7 +/- 4.1 months. We conclude that the long-term results of intracoronary stenting in AMI after failed PTCA are favourable.
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