支架内血栓.pptVIP

* * * * * * * * 多聚物高敏 获得性晚期支架贴壁不良 Baseline 8 mo follow-up SIRIUS Trial: 7/80 (8.7%) patients, no 12-month MACE Ako J. et al. JACC 2005;46:1002-5 Cook et al. Circulation 2007 Kotani et al. JACC 2006 Joner et al. JACC 2006 Togni et al. JACC 2005 Abnormal Vasomotion Delayed Healing Delayed Endothelialization Vessel Remodeling DES后病生理机制 Endothelialization 小结 DES支架内血栓发生率： Early: 0.5% - 1.6% Late/Very late: 0.3% - 0.6% 预测因素 Residual dissection, stent underexpansion Diabetes, ACS, bifurcation stenting, stent length, thro