| 急性心肌梗死行冠状动脉内支架术初步探讨 |
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| 引用本文： | 王振兴,冯毅,徐标,李殿富,张丽容. 急性心肌梗死行冠状动脉内支架术初步探讨[J]. 中国介入心脏病学杂志, 2001, 9(4): 193-195 |
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| 作者姓名： | 王振兴 冯毅 徐标 李殿富 张丽容 |
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| 作者单位： | 南京,东南大学附属中大医院心内科,210009 |
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| 摘 要： | 目的评价急诊冠状动脉内支架术治疗急性心肌梗死的疗效及安全性.方法 48例急性心肌梗死患者入院6 h内接受急诊介入治疗,共置入支架58枚,术后行即刻血管造影评价,观察住院及近期临床事件.结果 44例(92%)患者梗死相关动脉(IRA)重建后TIMI-3级血流,全部病例IRA残余狭窄<30%.住院期间1例死亡,无急性再闭塞,急诊搭桥及严重出血发生.随访6个月,无再次心肌梗死、需外科血运重建术、卒中、脏器出血和死亡等重大临床事件.结论急诊支架置入术治疗急性心肌梗死成功率高,住院及近期临床效果好,是抢救急性心肌梗死的安全可靠方法.
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| 关 键 词： | 心肌梗死 支架 血管成形术,经腔,经皮冠状动脉 |
| 修稿时间： | 2001-06-20 |
Emergent use of intraconary stenting in acute myocardial infarction: a prelininary experience |
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| WANG Zhenxing,FENG Yi,XU Biao,et al Zhongda Hospital Affiliated to the Southeast University,Nanjing ,China. Emergent use of intraconary stenting in acute myocardial infarction: a prelininary experience[J]. Chinese Journal of Interventional Cardiology, 2001, 9(4): 193-195 |
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| Authors: | WANG Zhenxing FENG Yi XU Biao et al Zhongda Hospital Affiliated to the Southeast University Nanjing China |
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| Affiliation: | WANG Zhenxing,FENG Yi,XU Biao,et al Zhongda Hospital Affiliated to the Southeast University,Nanjing 210009,China |
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| Abstract: | Objective To evaluate the efficacy and safety of emergent stenting in acute myocardial infaction and the predictions of cardiac events Methods 48 patients with acute myocardial infarction were treated with emergent interventional therapy in 6 hours after hospitalization,58 intracoronary stents were implanted Procedural results were evaluated angiographically and clinical events were followed up for 6 months Results Residual stenosis <30% was achieved in all patients 44 (92%) infarct related arteries obtained TIMI 3 flow Apart from 1 hospital death, no other clinical events were found in following up Conclusion Emergent stenting exhibits excellent procedural results and promising late clinical outcomes |
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| Keywords: | Acute myocardial infarction Stent Angioplasty |
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