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Urgent percutaneous coronary intervention (PCI) in unprotected left main coronary artery lesion
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF EMERGENCY MEDICINE
- Issue:
- 4
- DOI:
- 10.3760/j.issn:1671-0282.2007.04.007
- Key Word:
- 无保护左主干病变;急性心肌梗死;经皮冠状动脉介入治疗
Abstract： 目的 探讨经皮冠状动脉介入治疗(PCI)在左主干(LMT)病变急性闭塞或狭窄所致急性心肌梗死(AMI)中的有效性和安全性.方法 选择13例LMT急诊PCI病例,其中开口部2例、体部2例、分叉部7例、从开口到分叉全部累及2例.所有病例均在主动脉内囊反搏(intreaortic balloon pamp,IABP)支持下进行,其中4例在经皮心肺辅助系统(percutaneous cardio-pulmonary support,PCPS)支持下进行手术.13例患者中有1例仅做了血栓吸引术;3例血栓吸引术后直接支架置入;3例血栓吸引术及球囊预扩后再置入支架;其余4例为球囊预扩后再置入支架.术后存活患者均在3个月、6个月和12个月分别行冠状动脉造影(coronargartery angiogrophy,CAG)含或不含血管内超声复查.结果 13例患者中共死亡5例,其中2例死于手术后1 d之内,2例死于CCU,另一例猝死于术后17个月;存活的8例中有4例在一年内接受外科的冠脉搭桥术coronary artery bypass graft(CABG),另4例心功能均有不同程度得到改善.结论 IABP支持下急诊PCI治疗可以挽救部分患者的生命和改善预后.
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