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目的探讨移动式数字X线血管机在急诊经皮冠状动脉介入(PCI)术中的应用价值。方法将79例拟行急诊PCI术的患者,经“绿色通道”直接送入心内科导管室,均在移动式数字X线血管机(SIAS Cardiodigit 9,意大利)下,进行急诊冠状动脉造影(CAG)、冠状动脉腔内扩张(PTCA)术、支架植入(SI)术及冠状动脉腔内超声(IVUS)检查。结果79例均行急诊CAG,74例行急诊PTCA+SI术,4例单纯行PTCA。PCI术后100%的梗死相关血管恢复TIMI 3级血流。手术成功率为100%。1例为无保护左主干病变,即转外科行冠脉旁路术;6例患者还进行了IVUS检查,以确定病变、选择合适的支架,并且评价急诊PCI术后的效果。结论移动式数字X线血管机基本能满足急诊PCI术的要求,操作简单、迅速,功能基本齐全,为建立“心脏绿色通道”的基本设备之一。
Objective To investigate the value of mobile digital X-ray machine in emergency percutaneous coronary intervention (PCI). Methods A total of 79 patients undergoing PCI were enrolled into the cardiology department through the “green channel”. All underwent emergency coronary angiography (CAG) under the mobile digital X-ray machine (SIAS Cardiodigit 9, Italy) ), Intraluminal coronary angioplasty (PTCA), stent implantation (SI) and intra-coronary ultrasound (IVUS). Results All the patients underwent emergency CAG in 74 cases, PTCA + SI in 74 cases and PTCA in 4 cases. 100% of the infarct-related blood vessels after PCI are restored TIMI grade 3 blood flow. Surgical success rate was 100%. One case was unprotected left main coronary artery disease, which was referred to coronary artery bypass surgery. Six patients underwent IVUS to determine the lesion, select the appropriate stent, and evaluate the effect after emergency PCI. Conclusion The mobile digital X-ray vascular machine basically meets the requirements of emergency PCI. It is simple, rapid and complete in function. It is one of the basic equipment for establishing “green heart channel”.