Mehan V K, Salzmann C, Kaufmann U, Meier B
Department of Cardiology, University Hospital, Bern, Switzerland.
Cathet Cardiovasc Diagn. 1995 Feb;34(2):137-40. doi: 10.1002/ccd.1810340412.
Stents are useful bail-out devices in coronary angioplasty. They are also used electively for situations associated with poor angioplasty results (e.g., restenotic lesions, venous grafts) and may reduce restenosis rates. However, the significant incidence of stent thrombosis necessitated aggressive anticoagulation with associated hemorrhagic complications. This remains a major limitation of stenting. We present our experience of stenting with half (disarticulated) Palmaz-Schatz coronary stents in eight consecutive patients, managed with aspirin alone. No patient experienced acute or subacute stent thrombosis.
支架是冠状动脉血管成形术中有用的补救装置。它们也被选择性地用于与血管成形术效果不佳相关的情况（例如，再狭窄病变、静脉移植物），并且可能降低再狭窄率。然而，支架血栓形成的高发生率需要积极抗凝，这会带来相关的出血并发症。这仍然是支架置入术的一个主要限制。我们介绍了连续8例患者使用半（分离式）Palmaz-Schatz冠状动脉支架进行支架置入的经验，这些患者仅用阿司匹林治疗。没有患者发生急性或亚急性支架血栓形成。
