摘要
目的观察在慢性完全闭塞病变血管成形术中应用ChoICE PT导入钢丝的效果.方法应用ChoICE PT导入钢丝为25例阻塞时间为(17±13)(2～84)个月、病变长度为(14±6)(5～25)mm的冠状动脉慢性完全闭塞病人行血管成形术.结果手术成功率为92%(23/25).无1例发生冠状动脉夹层、急性心肌梗死和死亡.经皮冠状动脉血管成形术联合支架的植入获得了良好的即刻血管造影结果.结论在冠脉慢性完全闭塞病变血管成形术中应用ChoICEPT导入钢丝可获得较好的安全性,但其远期疗效仍有待进一步研究.
Objective To assessthetherapeuticeffectof a0.014'ChoICEPT guidewire(SciMed,BostonScientificInc.)in angioplastyforthecoronaryarterieswithchronictotalocclusion.Methods BalloonangioplastyselectivelyusingChoICEPT wirewasattemptedin25patientswithchronictotalocclusionof thecoronaryarterieswiththemeancourseof17±13months(range2to84months)andthemeanlengthof thelesionof14±6mm(range5to25mm).Thelesionmorphologyincluded vasculardistortion,bridgingcollaterals,calcificationand majorsidebranchat thelesion.Results Recanalizationwas successfullyachievedin92%(23/25)cases,and dissectinganeurysmdidnotoccurinanyof thepatients.Balloonangioplasy and stentingwereperformedwithgood immediateangiograghicresultsand therewereno incidenceof acutemyocardial infarctionor death.Conclusion Successfulrecanalizationof chroniccoronarytotalocclusionscanbe achievedusingChoICE PT wirewithdesirablesafety,thoughthelong-termoutcomeof thesepatientsnecessitatesfurtherinvestigation.
出处
《第一军医大学学报》
CSCD
北大核心
2001年第10期770-772,共3页
Journal of First Military Medical University
基金
香港大学玛丽医院心脏科基金(HKU9800035)
关键词
心肌梗塞
心肌血管重建术
导引钢丝
coronarydisease
myocardialinfartion
myocardialrevascularization
guidewire
