冠脉内支架在冠脉病变中的应用价值

目的 探讨支架在冠脉病变治疗中的应用价值。方法对１９例冠心病患者植入冠脉支架，冠脉造影示Ａ型病变１例，Ｂ型１３例及Ｃ型５例。支架樾入用于预防ＰＴＣＡ后再狭窄１４例，治疗ＰＴＣＡ急性并发症（内膜撕裂和急性闭塞）５例。樾主支架２０个，其中前降支１０个，回旋支２个，右冠８个。结果 术后冠脉扩张效果满意，无残余狭窄。无一例发生急性和亚急性心脏事件，临床症状均明显改善。结论支架植入对复杂冠脉病变和急性冠脉并

Evaluatioin on coronary stenting in coronary heart disease

Objective Nineteen CHD patients receiving coronary stenting (CS) were studied to evaluate the value of application for stenting in treating coronary lesions. Materials and Methods Coronary angiography revealed A type lesion in 1, B type lesions in 13 and 5 cases of C type lesion. Fourteen stents were implanted to prevent restenosis after PTCA, 5 were used in treating acute complications of PTCA(i.e. intimal tearing of acute occlusion). Twenty stents were implanted in total, including 10 in LADs,2 in LCXs and 8 in RCAs. Results The outcome was favourable with no residual stenosis. There were no acute or subacute cardiac events, and the symptomatic improvements were substantial. Conclusions Stenting is a relatively safe, effective and emergent therapy in managing complicated coronary lesions and acute coronary complications of PTCA.