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相關文獻
- Immediate and Long-term Outcomes of Stent Implantation for procedure-Induced Dissection of Left Main Coronary Artery
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- Left Main Coronary Artery Disease in Two Middle-Aged Women--A Report of Two Cases and Clinical Implications
- Left Main Stenting--Is it Too Much or is the Time to go Main Stream?
- Elective Coronary Stenting for Unprotected Left Main Stenosis--A Case Report
- Spontaneous Left Main Coronary Artery Dissection: A Case Report
- 左主冠狀動脈狹窄之治療
- 主動脈瘤治療新趨勢
- Iatrogenic Aortocoronary Dissection Successfully Treated with a Covered Stent
- Percutaneous Stenting of an Isolated Spontaneous Dissection of the Superior Mesenteric Artery in a Hybrid Operating Room: Report of a Case
頁籤選單縮合
題 名 | Immediate and Long-term Outcomes of Stent Implantation for procedure-Induced Dissection of Left Main Coronary Artery=支架置放對於心導管手術引起左主冠狀動脈剝離的立即效果和長期預後 |
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作 者 | 劉人福; 李世煌; 程俊傑; 徐國基; | 書刊名 | Acta Cardiologica Sinica |
卷 期 | 22:2 民95.06 |
頁 次 | 頁75-80 |
分類號 | 416.262 |
關鍵詞 | 左主冠狀動脈; 剝離; 支架; Left main coronary artery; Dissection; Stent; |
語 文 | 英文(English) |
中文摘要 | 背景 左主冠狀動脈剝離是經皮冠狀動脈介入性治療手術很少見的併發症,然而一旦發生會有致命的危險。在治療方面除了進行緊急冠狀動脈繞道手術外,立即的血管內支架置放也不失為一種方法,但其療效仍然不是非常確定。方法 在2002年四月到2005年十二月,4852位有冠狀動脈疾病的病人在本院接受經皮冠狀動脈介入性治療,其中有5位(0.1%)發生左主冠狀動脈剝離,他們接受支架置放來治療左主冠狀動脈剝離的併發症。結果 這5位病人都是由於左前降支冠狀動脈狹窄接受經皮冠狀動脈介入性治療時引起左主冠狀動脈剝離,其中1位發生在引導導管置放時,1位發生在氣球擴張時,3位發生在支架置放時。在這5位病患,支架置放手術成功地治療左主冠狀動脈剝離的情況,手術中沒有產生任何併發症。在平均43±23月(9至66月)的長期後續追蹤,當中4位病人臨床上有心絞痛情形,再次接受經皮冠狀動脈介入性治療,4位之中只有1位發生左主冠狀動脈再狹窄需要再次做氣球擴張及支架置放,這5位病患都沒有發生需要立即冠狀動脈繞道手術、心肌梗塞或者死亡的情形。結論 經皮冠狀動脈介入性治療手術中併發左主冠狀動脈剝離,即時地置放支架有可以接受的立即效果和長期預後。 |
英文摘要 | Background: Procedure-induced dissection of the left main coronary artery (LMCA) is a rare complication of coronary catheterization, but it may have fatal results. The outcomes of stent implantation in patients with procedure-induced LMCA dissection are still unclear. Method: From April 2002 to December 2005, 4852 patients underwent percutaneous coronary intervention (PCI) for coronary artery disease in this institute. During this period, 5 patients (0.1%) developed procedure-induced LMCA dissection during PCI, and they received stent implantation for this complication. Result: All of the 5 patients developed procedure-induced LMCA dissection during PCI for stenosis of the left anterior descending (LAD) artery. Procedure-induced dissection of the LMCA developed during manipulation of the guiding catheter in 1, after balloon dilatation for LAD steno sis in 1, and after stent implantation for LAD stenosis in 3 patients. Immediate success of stent implantation for LMCA dissection was achieved in all 5 patients. No major complication was noted during LM stenting. At a mean follow-up period of 43±23 months (range 9 to 66 months), four of the 5 patients (80%) underwent repeated coronary angiography due to recurrent angina. One of 4 patients received PCI for restenosis of LMCA. There were no major cardiac events, including requirement of coronary artery bypass graft surgery, myocardial infarction or death during the follow-up period. Conclusion: LMCA dissection during PCI could be successfully managed by prompt stent implantation, with acceptable immediate and long-term outcomes. |
本系統中英文摘要資訊取自各篇刊載內容。