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[PTCA术后急性冠状动脉闭塞时植入新型维克托支架的近期和远期结果]

[Short- and long-term results following implantation of the new Wiktor stent in acute coronary occlusion following PTCA].

作者信息

Buchwald A, Unterberg C, Werner G S, Voth E, Kreuzer H, Wiegand V

机构信息

Abt. Kardiologie und Pulmonologie und, Universitätsklinik Göttingen.

出版信息

Z Kardiol. 1990 Dec;79(12):837-42.

PMID:2087864
Abstract

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.

摘要

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。

相似文献

1
[Short- and long-term results following implantation of the new Wiktor stent in acute coronary occlusion following PTCA].[PTCA术后急性冠状动脉闭塞时植入新型维克托支架的近期和远期结果]
Z Kardiol. 1990 Dec;79(12):837-42.
2
Comparative clinical and angiographic analysis of the initial efficacy and long-term follow-up of Wiktor stent implantation with conventional balloon angioplasty.
Jpn Heart J. 1997 Sep;38(5):625-35. doi: 10.1536/ihj.38.625.
3
Micro stent, quantitative coronary angiography, and procedural results.微型支架、定量冠状动脉造影及手术结果。
Cathet Cardiovasc Diagn. 1996 Jun;38(2):135-43. doi: 10.1002/(SICI)1097-0304(199606)38:2<135::AID-CCD4>3.0.CO;2-A.
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Early experience with coronary stenting.冠状动脉支架置入术的早期经验。
Indian Heart J. 1992 May-Jun;44(3):139-44.
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Wiktor stent implantation in patients with restenosis following balloon angioplasty of a native coronary artery.在自体冠状动脉球囊血管成形术后再狭窄患者中植入维克托支架。
Am J Cardiol. 1992 Mar 1;69(6):598-602. doi: 10.1016/0002-9149(92)90148-r.
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Coronary stenting for failed angioplasty in acute myocardial infarction.急性心肌梗死血管成形术失败后的冠状动脉支架置入术。
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