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中国临床研究:2021,34(2):217-219,223
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棘突球囊有效性和安全性临床评估
(北京市门头沟区医院心内科,北京 102300)
Evaluation on efficacy and safety of Lacrosse non-slip element balloon
(Department of Cardiology,Beijing Mentougou District Hospital,Beijing 102300,China)
摘要
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投稿时间:2020-05-21   网络发布日期:2021-02-20
中文摘要: 目的 探讨棘突球囊在冠状动脉狭窄病变治疗中的有效性和安全性。方法 采用回顾性研究方法,以2018年1月至2019年12月住院的120例134处冠状动脉狭窄病变应用棘突球囊进行扩张治疗的冠心病患者为研究对象。收集患者的一般资料、病史、冠状动脉造影结果、介入治疗方式、围手术期并发症等资料,评估棘突球囊临床应用的有效性和安全性。结果 134处冠状动脉狭窄病变行棘突球囊扩张治疗中失败5处,成功扩张129处,成功率为96.3%。129处中,支架内再狭窄、小血管弥漫性病变、分叉病变、开口部病变和以及其他类型病变各为30、24、26、16和33处,成功扩张后,给以支架植入或应用药物球囊治疗。6例棘突球囊扩张后发生了内膜撕裂,均为A型夹层,发生率为5.0%(6/120),对其中5例行植入支架治疗。术中及术后住院期间无急性心肌梗死、死亡及需要外科处理的血管并发症发生。结论 棘突球囊临床应用于冠状动脉狭窄病变的扩张治疗是有效且安全的。
Abstract:ObjectivesTo explore the efficacy and safety of Lacrosse non-slip element(NSE) balloon in clinical application.Methods A retrospective study was conducted in 120 patients with coronary atherosclerotic heart disease(CHD)undergoing percutaneous coronary intervention(PCI) with Lacrosse NSE catheter in 134 lesions of coronary artery stenosis from January 2018 to December 2019.The general data,medical history,coronary angiography(CAG) findings,interventional therapy and perioperative complications were collected to evaluate the efficacy and safety of Lacrosse NSE balloon in clinical application.Results The successful rate was 96.3%(129/134) for coronary artery stenosis treated with Lacrosse NSE balloon,including 30 in-stent restenosis,24 diffuse small vessel lesions,26 bifurcation lesions,16 ostial lesions and 33 other types of lesions,which were treated with implantation of stents and drug-coated balloon therapy after successful expansion.Type A dissection with intimal tear occurred in 6 cases after balloon dilatation[5.0%(6/120)],and stent implantation was performed in five of them.No cases of acute myocardial infarction,death and vascular complications requiring immediate surgical treatment occurred during operation and postoperative hospitalization.Conclusion Lacrosse NSE balloon is effective and safe for coronary artery stenosis.
文章编号:     中图分类号:R543.3    文献标志码:B
基金项目:科技部国家重点研发计划“数字诊疗装备研发”专项(2017YFC113005)
引用文本:
李世敬, 潘黎明, 胡新科, 井立省, 邹爱春, 王军.棘突球囊有效性和安全性临床评估[J].中国临床研究,2021,34(2):217-219,223.

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