经皮穿刺冠心病介入治疗(pci)的回顾与展望_刘映峰.ppt

经皮穿刺冠心病介入治疗(PCI)的回顾与展望;;The Procedure;心血管介入的特点;心血管疾病介入治疗的发展历程;心血管疾病介入治疗的发展历程;冠心病介入治疗;The Procedure;Balloon catheter: a small diameter hollow tube with a second smaller tube attached to material at the base of the catheter (balloon). The balloon is inflated via the smaller tube, the inflation lumen, once it is placed across the lesion. ;Inflation device: used for controlled inflation of the balloon. ;右冠近段次全闭塞，远端完全闭塞;球囊扩张后及支架植入后即时疗效;右冠中段病变介入治疗即时疗效;右冠中段病变介入治疗即时疗效;右冠脉闭塞;右冠介入干预方法及疗效;前降支介入干预方法及疗效;左旋支介入干预方法及疗效;冠心病介入治疗;冠心病介入治疗的目的;冠心病介入治疗的适应征选择;冠脉病变类型;冠状动脉复杂病变;冠状动脉病变造影图;冠状动脉病变造影图;冠状动脉病变造影图;冠状动脉病变造影图：闭塞;冠状动脉病变造影图：内膜夹层和撕裂;冠状动脉病变造影图：肌桥;冠脉病变类型：迂曲;不同类型冠心病治疗方案的选择;1、单支病变，无症状或症状轻微;2、单支病变，有心绞痛;3、多支病变，无症状或症状轻微;4、多支病变，有心绞痛;5 急诊PTCA的适应症; ;6、急性心肌梗死后的PCI术;冠心病介入治疗;冠心病介入治疗与外科搭桥手术治疗;The Advantages of CABG;The Disadvantages of CABG;;The disadvantages of PCI;冠心病介入治疗与药物治疗——药物永远是基石;冠心病介入治疗; Stent Placement;Stent Placement; ; ;冠心病介入治疗;冠状动脉造影的并发症及其防治;冠状动脉造影的并发症及其防治;冠状动脉造影的并发症及其防治;冠状动脉造影的并发症及其防治;冠状动脉介入治疗的并发症及其防治;冠心病介入治疗的主要存在问题：再狭窄;Pre-Intervention;Follow-up at 4 months;随访时原扩张血管段狭窄≥50%随访时原扩张血管段增加的血管直径减少≥50%;;再狭窄的主要病理机制;RA for Restenosis;DCA for Restenosis;冠心病介入治疗的未来;Thank you