国产COSTANT冠状动脉支架治疗重症冠心病远期疗效观察.pdfVIP

602 CHINESEJOURNALOFPRACTICALINTERNALMEDICINEApril2006Vol.26No.8 国产COSTANT冠状动脉支架治疗 重症冠心病的远期疗效观察 藏红云，‘韩稚玲，，陈纪言2，荆全民，，王守力’，马颖艳 t骥然冲畔-2194(2006)一08-0602-G3价淤渺缪榷R5 熬粼 摘【 要】 目的 评价国产COSTANT冠脉支架治疗重症冠心病的安全性和远期疗效。方法 回顾性分析 2001一仍-2003-08沈阳军区总医院和广州省人民医院2个心脏中心应用COSTANT冠脉支架治疗71例重症冠 心病者即刻疗效和2年随访结果。结果 共置入COSTANT支架86枚，其他支架58枚，手术成功率均为 100%。院内主要不良心胜事件 (MACE)共3例 (其中死亡2例、1例支架内发生亚急性血检)069例失访6 例 (随访率91.3%),63例随访21-26个月中4例死亡，21例行冠脉造影复查 (占30.4%),8例发生再狭 窄 (RS)(COSTANT支架4例，其他支架3例，1例COSTANT和其他支架均RS并死亡),5例出现新生病变。 COSTANT支架RS率为7.9% (5/63),MACE发生率12.7% (8/63)。结论 2年的长期随访结果表明国产 COSTANT冠状动脉支架可安全用于重症冠心病介入治疗，且长期疗效较好。 r关键词】 冠状动脉疾病:血管成形术:COSTANT支架 Thelong一termoutcomeofthepatientswithseverecoronaryheartdiseasetreatedbyhomemadCostantcoro- narystent. ZangHongyan，HanYaling,ChenJiyan,etal.DepartmentofCardiology,GeneralHospitalof ShenyangCommandofPLA，Shenyang110016，China AbstractObjectiveToevaluatethesafetyandclinicaleffectofhomemadCostantcoronarystentimplantation.Meth- odsTheimmediateandtwo一yearfollow一upresultsofCostantcoronarystentimplantationinseverecoronaryheartdis- ease(CHD)patientswereretrospectivelyanalyzedintheGeneralHospitalofShenyangCommandofPLAandthe GuanzhouPeoplesHospitalfromMar.2001toAug.2003.Results Implantationof86homemadCostantcoronary stentswassuccessfullyperformedin71severeCHDpatientsalthough3mainadversecardiacevents(MACE)occurred duringhospitalization(2patientsdiedand1patienthadsub一acutein一stentthrombosis).Follow一upwasmadein63 patientsfor(21.5士4.4)monthsonanaverageand4patientsdied.Repeatcoronaryangiogramin21patientsshowed thatin一stentrestenosisforCostantstentexistedin4patientsandin一stentrestenosisinothertypesofstentwasfoundin 3patientsandin一stentrestenosisinallstentswasfoundin1patientwhodiedofshockandneo一coronarylesionswas foundin5patients.Costantstentrestenosisratewas7.9% (5/63);MACEratewasonly12.7% (