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经皮冠状动脉介入治疗后的支架血栓形成:从裸金属支架到最新一代药物洗脱支架。

Stent Thrombosis After Percutaneous Coronary Intervention: From Bare-Metal to the Last Generation of Drug-Eluting Stents.

机构信息

Division of Cardiology, Department of Medical and Surgical Sciences, "Magna Graecia" University, Viale Europa, Catanzaro 88100, Italy; Research Center for Cardiovascular Diseases, "Magna Graecia" University, Viale Europa, Catanzaro 88100, Italy.

Division of Cardiology, Department of Medical and Surgical Sciences, "Magna Graecia" University, Viale Europa, Catanzaro 88100, Italy.

出版信息

Cardiol Clin. 2020 Nov;38(4):639-647. doi: 10.1016/j.ccl.2020.07.008. Epub 2020 Sep 17.

Abstract

Since their introduction in clinical practice in 1986, different types of coronary stents have been developed and become available for the treatment of coronary artery disease. Stent thrombosis (ST) is an uncommon but harmful complication after percutaneous coronary implantation, with a high occurrence of acute myocardial infarction and risk of mortality. Among several procedural and clinical predictors, the type of coronary stent is a strong determinant of ST. This article reviews the available evidence on the most used coronary stent types in the modern era and the related risk of ST.

摘要

自 1986 年在临床实践中引入以来,已经开发出不同类型的冠状动脉支架,并可用于治疗冠状动脉疾病。支架血栓形成(ST)是经皮冠状动脉植入后的一种罕见但有害的并发症,可导致急性心肌梗死和死亡风险增加。在几个程序和临床预测因素中,冠状动脉支架的类型是 ST 的一个重要决定因素。本文回顾了现代应用最广泛的几种冠状动脉支架类型的相关证据及其 ST 风险。

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