延迟经皮冠状动脉介入治疗急性心肌梗死的近期并发症

目的探讨延迟经皮冠状动脉介入治疗对于急性心肌梗死(AMI)的安全性。方法对486例AMI患者(包括108例非ST段抬高型心肌梗死和378例ST段抬高型心肌梗死患者)行延迟经皮冠状动脉介入治疗,回顾分析术中和术后1周内的并发症。结果所有486例患者中,无复流4例(4/486,0.82%),慢血流6例(6/486,1.23%),冠状动脉破裂2例(2/486,0.41%),急性血栓形成3例(3/486,0.62%),冠状动脉内夹层1例(1/486,0.21%),支架脱落3例(3/486,0.62%),死亡6例(6/486,1.23%)。结论延迟经皮冠状动脉介入治疗AMI并发症发生率相对较低,适于基层医院开展。

Early complications of delayed percutaneous coronary intervention in patients with acute myocardial infarction

Objective To explore the safety of delayed percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI). Methods Totally 108 patients with non-ST elevation myocardial infarction and 378 patients with ST segment elevation myocardial infarction were enrolled. All patients underwent delayed PCI, and the incidences of all kinds of complications were analyzed retrospectively during operation and 1 week after PCI. Results In all 486 patients, no-reflow, slow flow, coronary artery rupture, acute thrombotic events, coronary the mezzanine, stents falling off occurred in 4 cases (4/486, 0.82%), 6 cases (6/486, 1.23%), 2 cases (2/486, 0.41%), 3 cases (3/486, 0.62%), 1 case (1/486, 0.21%) and 3 cases (3/486, 0.62%), respectively. There were 6 cases (6/486, 1.23%) death. Conclusion Complications occurred in AMI patients who undergoing delayed percutaneous coronary artery intervention treatment is relatively low. Delayed PCI is suitable for treatment of AMI patients in basic-level hospitals.