32例冠状动脉狭窄或闭塞的介入性治疗

目的 探讨经皮冠状动脉腔内成形术（ＰＴＣＡ）及冠状动脉内支架植入术（ＣＡＳＩ）对这太动脉狭窄及完全闭塞的疗效。方法以地３０例冠状动脉粥样硬化性狭窄或闭塞，１例缺血性心肌病冠状动脉狭窄和１例多发 生结节性动脉为和急性心肌梗塞患者的５０支病变血管实施ＰＴＣＡ或ＣＡＳＩ术。术前、术后和随方腹要太动脉造影图像。结果 手术总成功率９８．９％，１例冠心病争性心肌梗塞患者术后２周因心原性休克死亡，１例冠心病患者

Interventional Therapy in 32 Patients with Coronary Stenosis or Occlusion

Objective:To explore the effects and clinical values of percutaneous transluminal cornary angioplasty(PTCA)and introcoronary stenting(CASI)on coronary artery stenosis and coronary occlusion.Methods:PTCA or CASI were performed in 30 coronary atherosclerotic cardiopathy(CAD)patients,1 ischemic car diomyopathy and 1 polyarteritis nodose with 50 stenosis vessel or total vessel occlusion.compare the angiograms of pre intervention,post intervention and at fellow up.Results:The results showed 96 9% successful rate in 32 patients,one actue myocardial infarction patient died of cardiogenic shock in 2 weeks post intervention,at fellow up 30 patients minimal luminal diameter is larger than preintervention,restenosis occurred in 1 CAD patient and was reoperated.Conclusion:PTCA and CASI are safe and reliable therapy in any coronary artery stenosis and occlusion with their high successful rate and low complication.