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[冠状动脉支架置入术:适应证与结果]

[Coronary stenting: indications and results].

作者信息

Klugmann S, Barbieri L

机构信息

Laboratorio di Emodinamica, USL N 1 Triestina, Trieste.

出版信息

Cardiologia. 1993 Dec;38(12 Suppl 1):377-81.

PMID:8020039
Abstract

Intracoronary stenting has been introduced to overcome the 2 main limitations of balloon angioplasty:acute vessel closure and late restenosis. Palmaz-Schatz stent is today the most diffuse prosthesis; the incidence of subacute occlusion and of restenosis reported by various Authors are acceptable. The risk of major complications however is definite and anticoagulation mandatory. Only controlled clinical studies and improvements in the stent design and in the knowledge of thrombotic processes will permit an enlargement of stent indications.

摘要

冠状动脉内支架置入术已被引入以克服球囊血管成形术的两个主要局限性

急性血管闭塞和后期再狭窄。Palmaz-Schatz支架是目前应用最广泛的假体;不同作者报道的亚急性闭塞和再狭窄的发生率是可以接受的。然而,主要并发症的风险是确定的,抗凝是必需的。只有通过对照临床研究以及支架设计和血栓形成过程知识的改进,才会扩大支架的适应证。

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