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中国临床研究英文版:2018,31(3):340-342
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BSKT技术与Reverse crush技术治疗冠状动脉分叉病变
(昭通市第一人民医院心血管内科,云南 昭通 657000)
BSKT and reverse crush techniques for treatment of coronary bifurcation lesions
(Department of Cardiology, the First People′s Hospital of Zhaotong, Zhaotong, Yunnan 657000, China)
摘要
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Received:September 28, 2017   Published Online:March 20, 2018
中文摘要: 目的 探讨球囊支架对吻术(BSKT技术)与Reverse挤压支架技术(crush技术)治疗冠状动脉分叉病变的临床效果。方法 选取2015年1月至2015年12月收治的冠状动脉分叉病变240例,随机分为研究组和对照组,每组各120例,对照组应用crush技术治疗,研究组应用BSKT技术治疗。比较两组手术指标、冠脉造影结果、并发症情况。结果 研究组患者X线曝光时间[(36.5±11.9)min vs (59.2±15.6)min]、手术时间[(57.8±16.2)min vs (81.5±19.6)min]短于对照组,造影剂用量[(179±18)ml vs (215±36)ml]、球囊用量[(2.5±0.8)个 vs (1.6±0.4)个]少于对照组(P<0.05)。两组球囊对吻成功率均为100%。治疗后,研究组患者的直径狭窄率、再狭窄率、晚期管腔丢失情况均显著低于对照组(P<0.05)。两组心绞痛、心肌梗死以及猝死等心血管并发症比较无统计学差异(P>0.05)。结论 与Reverse crush技术比较,应用BSKT技术治疗冠状动脉分叉病变能够提高治疗效果,降低血管再狭窄发生风险。
Abstract:Objective To investigate the clinical effects of balloon-stent kissing technique(BSKT)versus reverse crush technique in the treatment of coronary artery bifurcation.? Methods A total of 240 patients with coronary artery bifurcation were selected from January 2015 to December 2015 and were randomly divided into control group treated with reverse crush technique and study group treated with BSKT (n=120, each). The surgical indicators, coronary angiography findings and complications were compared between two groups. Results The operative time[(57.8±16.2)min vs (81.5±19.6)min], X-ray exposure time[(36.5±11.9)min vs (59.2±15.6)min], dosage of balloon(2.5±0.8 vs 1.6±0.4) and contrast medium[(179±18)ml vs (215±36)ml] in study group were significantly lower than those in control group (all P<0.05). There was no significant difference in the success rate of kissing balloon (100% vs 100%, P>0.05). After treatment, the rates of diameter stenosis and restenosis of vascular, late lumen loss were significantly lower than those in control group(all P<0.05). There was no significant difference in the incidence of complications such as angina pectoris, myocardial infarction and sudden death (all P>0.05).? Conclusion Compared with reverse crush technique, BSKT can increase the clinical effect and reduce the risk of restenosis in treatment of patients with coronary artery bifurcation.
文章编号:     中图分类号:R 543.3    文献标志码:A
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