国产雷帕霉素洗脱支架介入治疗冠状动脉无保护左主干病变的疗效分析
张利彬;张海滨;郭金成;高国旺;张立新;张学坤;甘舜进;
摘要(Abstract):
目的观察国产雷帕霉素洗脱支架(FirebirdTM)介入治疗冠状动脉无保护左主干严重狭窄病变的疗效。方法对2004年1月—2008年12月住院的冠心病无保护左主干病变患者36例,行经皮冠状动脉介入治疗置入FirebirdTM支架,观察住院期间和出院后心脏事件发生率。结果在左主干狭窄36例中,左主干开口狭窄16例,体部狭窄7例,末端分叉病变13例。置入FirebirdTM支架均获得成功,无死亡病例。随访6~9个月1例发生再狭窄,均未发生亚急性或延迟性支架内血栓形成,无严重不良心血管事件发生。结论 FirebirdTM支架对冠心病无保护左主干严重狭窄病变患者近期疗效明显,能减少不良心血管事件发生。
关键词(KeyWords): 经皮冠状动脉内介入治疗;冠状动脉左主干;雷帕霉素洗脱支架;主要不良心脏事件
基金项目(Foundation):
作者(Author): 张利彬;张海滨;郭金成;高国旺;张立新;张学坤;甘舜进;
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DOI:
参考文献(References):
- 1 Morice MC,Serruys PW,Sousa JE,et al.A randomized comparisonof a sirolimus-eluting stent with a standard stent for coronary revascular-ization[J].N Engl J Med,2002,246(23):1773-1780.
- 2 Park SJ,Kim YH,Lee BK,et al.Sirolimous-eluting stent implanta-tion for unprotected left main coronary atery senosis comparison with baremetal stent implantation[J].J Am Coll Cardiol,2005,45(3):351-356.
- 3张利彬,甘舜进,郭金城,等.国产雷帕霉素药物洗脱支架治疗冠心病前降支弥漫性长病变的疗效分析[J].实用心脑肺血管病杂志,2010,18(5):558.
- 4 Moes JW,Leon MB,Popma JJ,et al.Sirolimus-eluting stents ver-sus standard stents in patients with stenosis in a native coronary artery[J].N Engl J Med,2003,349:1315-1323.
- 5 Takagi T,tankovic G,Finci,et al.Results and long-term predictorsof adverse clinical events after elective percutaneous interventions on un-protected left main coronary artery[J].Circulation,2002,106:698-702.
- 6 Valgimigl IM,Van Mieghem CA,Ong AT,et al.Short and Long-term clinical outcom after drug-eluting stent implantation for the percu-taneous treatment of left main coronary artery disease[J].Circulation,2005,111(11):1383-1389.
- 7 Sun J,Marx SO,Chen HJ,et al.Role for p27(Kip1)in VascularSmooth Muscle Cell Migration[J].Circulation,2001,103(24):2967-2972.
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