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題 名 | Benefits of Late Coronary Artery Stenting in Patients with Acute Myocardial Infarction with and without Thrombolytic Therapy=血栓溶解劑治療於急性心肌梗塞後支架置放治療之影響 |
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作 者 | 謝宜璋; 張恆嘉; 陳銘賢; 洪國竣; 林芬瓊; 吳德朗; | 書刊名 | 長庚醫學 |
卷 期 | 23:12 2000.12[民89.12] |
頁 次 | 頁738-746 |
分類號 | 415.3161 |
關鍵詞 | 血管成形術; 胞漿素原活化劑; 支架; Angioplasty; Plasminogen activators; Stent; |
語 文 | 英文(English) |
中文摘要 | 背景:對於急性心肌梗塞病患予氣球擴張術合併血栓溶解劑的治療並無加成的療疾,本文在探討血栓溶解劑的使用與否對於之後施予延遲性支架置放治療的影響。 方法: 比較68位接受血全溶解劑治療及118位未接受血栓溶解劑治療的急性心肌梗塞病患之後施予延遲性支架置放治療的效果。 結果: 兩組病患接受支架置放治療之成功率恉可達98%,而且並未發生亞急性血栓症或合併症,6個月後的冠狀動脈追?攝影檢查顯示兩組皆有18%的再狹窄率,有接受血栓溶解劑這組發生再阻塞的比率為2%,未接受血全溶解劑組為4%,兩組相近,至於左心室功能在兩組皆可獲得改善。在平均18個月的追蹤過程中,兩組發生死亡率、再次心肌梗塞率、復發性心絞痛及再接受氣球擴張術治療的比率,在兩組病患是相近的,沒有統計學上有意義的差別。 結論: 急性心肌梗塞病患不論有否接受血栓溶解劑治療,之後給予延遲性支架置放治療的療效是相似的。兩組的左心室功能皆有統計學上有意義的改善。 |
英文摘要 | Background. There are no added benefits when balloon angioplasty is conducted in conjunction with thrombolytic therapy in patients with acute myocardial infarction. The purpose of this study was to determine whether or not thrombolysis has an impact on the outcome of late coronary artery stenting following acute myocardial infarction. Methods. The outcome of late coronary artery stenting in the infarct-related artery following acute infarction was compared in patients with (68 patients, group A) and without (118 patients, group B) prior thrombolytic therapy. Results. The baseline characteristics were similar in the 2 groups except that total occlusion of the infarct-related artery was more common in group B. The angiographic characteristics of the target lesion were similar in the 2 groups: the procedural success rate was 98% in both groups. There was no subacute thrombosis or other complications in either group. The 6-month follow-up coronary angiography and the restenosis rate was 18% in both groups; the reocclusion rate was 2% in group A and 4% in group B. The increment of the left ventricular ejection fraction was similar in both groups (6% versus 7%). During a follow-up duratio of 18±3 months, the mortality rate was 3% versus 2%, reinfarction 0% versus 1%, recurrent angina 6% versus 4%, and target lesion revascularization by angioplasty 13% versus 13% in group A and B patients, respectively. Conclusion. The outcome of late coronary artery stenting following acute myocardial infarction in patients with and without prior thrombolytic therapy was comparable. Significant improvement of left ventricular function was noted in both groups. |
本系統中英文摘要資訊取自各篇刊載內容。