Buchwald A, Unterberg C, Werner G S, Voth E, Kreuzer H, Wiegand V
Abt. Kardiologie und Pulmonologie und, Universitätsklinik Göttingen.
Z Kardiol. 1990 Dec;79(12):837-42.
Ten patients, two women and eight men, were treated with the new balloon-expandable Wiktor Stent for acute coronary occlusion after PTCA. Two patients presented with an acute myocardial infarction. Stents with a diameter of 3.0 or 3.5 mm were implanted into the right coronary artery (n = 7), the left anterior descending (n = 2) artery, and the left circumflex coronary artery (n = 1). Stent implantation in the target segment was successful in all cases. Afterwards, patients received coumadine for 3 months and 100 mg acetylsalicyclic acid per day. We observed one acute occlusion after 8 h. Late occlusion occurred in two patients after cessation of anticoagulation within 3 weeks. Control angiography after 6 months in seven patients revealed stenosis within the stent in two cases.
10例患者(2名女性和8名男性)在经皮冠状动脉腔内血管成形术(PTCA)后因急性冠状动脉闭塞接受了新型球囊扩张式维克托支架治疗。2例患者出现急性心肌梗死。将直径为3.0或3.5毫米的支架植入右冠状动脉(7例)、左前降支动脉(2例)和左旋支冠状动脉(1例)。所有病例在目标节段的支架植入均获成功。此后,患者接受了3个月的香豆定治疗,并每天服用100毫克乙酰水杨酸。我们观察到1例在8小时后发生急性闭塞。2例患者在抗凝治疗停止后3周内发生晚期闭塞。7例患者在6个月后进行的对照血管造影显示,2例患者的支架内出现狭窄。