急性ST段抬高型心肌梗死急诊经抽吸导管治疗后择期支架植入术的.DOCVIP

急性ST段抬高型心肌梗死急诊经抽吸导管治疗后择期支架植入术的临床研究 河南中医学院第一附属医院心脏中心 解金红 关怀敏 陈玉善 罗明华 王贺 邱承杰 河南省新乡市中心医院心内科 王鹏飞* 【摘 要】 目的 观察急性STEMI患者抽吸临床效。2009年1月至201年1月急性STEMI行治疗）Clinical Study Of Acute ST Segment Elevation Myocardial Infarction Treated By Emergency Thrombus Aspiration And Elective Stent Implantation （Jie Jin-Hong, Guan Huai-Min, Chen Yu-Shan, Luo Ming-Hua, Wang He, Qiu Cheng-Jie）Department of Cardiology, the First Affiliated Hospital of Henan University of TCM, Zhengzhou 450000, China； * Wang Peng-Fei（Department of Cardiology, Xin-xiang city center hospital） Corresponding author: Guan huai-min, E-mail: guanhuaimin2004@ 【Abstracts】Objectives To explore the clinical efficacy in near future priority catheter thrombus aspiration to open infarcted relevant artery(IRA) and select other opportunity stents implanted in ST elevation myocardial infarction(STEMI) patients. Methods 60 patients with acute STEMI from department of cardiology in the first affiliated hospital of henan university of TCM between January 2009 to January 2012 were with high thrombus burden in IRA. 18 cases of them were taken for thrombus aspiration group (TAG), their IRA was able to be achieved TIMI 3 grade coronary flow only using catheter thrombus aspiration. The other 42 cases were taken for intensify intervention group (IIG), which were immediately implanted stents after using catheter thrombus aspiration. Results Serum BNP, hs-CRP were decreased significantly in thrombus catheter aspiration group (TAG). 4 of 18 cases were free of stents implanted in TAG, but all cases were implanted stents in IRA during emergency PCI in IIG, there was very significant difference between 2 groups(P＜0.001). The length and diameter of which was implanted stents, the pressure of after dilatation balloon inflated, and the MBG3 of being gained all were significant difference between RSLs in TAG and CRLs in IIG(P0.05 or P＜0.01), Because of twice intervention opportunity, accumulative procedure time, X-ray exposure time, contr