冠状动脉内支架置入在老年冠状动脉粥样硬化性心脏病治疗中的应用价值

用冠状动脉内支架置入来重建血运，对一些药物治疗适应证和疗效均有限制、冠状动脉旁路移植风险高的老年冠状动脉粥样硬化性心脏病患者是一种较好的治疗方式。裸金属支架和药物涂层支架置入均具有预防支架内再狭窄的作用，近年来已广泛应用于各种类型冠状动脉粥样硬化性心脏病和不同程度冠状动脉病变，并明显减少了支架置入后再狭窄的发生率。文章针对老年冠状动脉粥样硬化性心脏病特点、冠状动脉内支架置入对老年冠状动脉粥样硬化性心脏病的疗效、安全性及生物相容性等方面进行探讨，证实冠状动脉内支架置入在治疗老年冠状动脉粥样硬化性心脏病上是可行的，也是安全的，并具有较好疗效。

Application value of intracoronary stent implantation in treating senile coronary atherosclerotic heart disease

Intracoronary stent implantation that is used to reconstruct blood transport is a good treatment for patients with senile coronary atherosclerotic heart disease who are limited to some medication indications and curative effects or have high risks by coronary bypass grafting. Bare metal stent and drug-eluting stent can prevent in-stent restenosis, which have been widely used in various coronary atherosclerotic heart disease and coronary artery disease process at different degrees, and significantly reduce incidence of in-stent restenosis. This paper discussed features of senile coronary atherosclerotic heart disease, curative effect, safety and biocompatibility of intracoronary stent implantation on senile coronary atherosclerotic heart disease to validate the intervention is feasible, safe and effective in treating senile coronary atherosclerotic heart disease based on experienced skills, precise design and appropriate stent selection