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目的研究无保护左主干(ULMCA)介入治疗(PCI)的近期安全性及有效性。方法总结57例合并多支血管病变的ULMCA患者的支架植入术,分析其病变特征、手术成功率及随访结果。结果即刻手术成功率达100%。分别于术后1个月、3个月、6个月、1 a随访,无主要心脏事件发生。结论对于心功能正常、左主干开口病变患者,PCI治疗是安全有效的。
Objective To investigate the recent safety and efficacy of unprotected left main trunk (PCI) interventional therapy. Methods Fifty-seven patients with ULMCA complicated with multi-vessel disease were enrolled in this study. Their pathological features, success rate and follow-up were analyzed. Results Immediate success rate of 100%. One month, three months, six months and one year follow-up respectively, no major cardiac events occurred. Conclusion For patients with normal cardiac function and left main open lesions, PCI is safe and effective.