急诊PCI使用抽吸导管的临床体会

目的探讨抽吸导管在急性心肌梗死急诊经皮冠状动脉介入治疗（PCI）中的应用。方法将我院78例急性心肌梗死患者随机分为两组：血栓抽吸组32例（抽吸导管抽吸冠脉内血栓，然后置入支架）和对照组46例（按常规PCI进行）。治疗后观察病变血管血流及心肌灌注情况，比较两组住院期间及术后随访6个月期间主要心脏不良事件（MACE）的发生率。结果血栓抽吸导管组的疗效明显优于对照组。结论抽吸导管用于急诊PCI效果显著。

Emergency PCI clinical experience of use of suction catheter

Objective To explore the clinical value of suction catheter in the treatment of acute myocardial infarction in emergency PCI. Methods 78 cases in our hospital with acute myocardial infarction patients were randomly divided into two groups： group of thrombus aspiration （pump off coronary thrombosis with suction catheter, and then stent was planted, n=32） and the control group （46 cases, carried out conventional PCI） pathological blood flow and myocardial perfusion were observed after treatment and the major adverse cardiac events （MACE） were compared between two groups during hospitalization and in 6 months follow-up. Results The efficacy of improving blood flow and myocardial perfusion in thrombus aspiration group was significantly better than the control group. Conclusion The effects of suction catheters using in emergency PCI are obvious.