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我院自1986年至今共完成冠脉造影术1000例,自1987年12月至今共开展经皮腔内冠脉成形术(PTCA)165例,扩张血管198支及病变224处。成功率分别为92.7％、93.9％及93.7％。其中复杂 PTCA 52例(31.5％),成功率86.5％。扩张单支血管134例(81％),扩张2支以上血管31例(19％)。5例血管分叉处病变用双球囊技术均获成功。12例完全阻塞病变PTCA成功10例。多支血管PTCA57例,达到完全再通 31例,部分再通 26例。急性心肌梗塞行急诊 PTCA 4例,溶栓后 PTCA47例。3例高危PTCA用自灌注球囊或冠脉血流灌注泵获成功。15例术后复发经造影示再狭窄(RS)14 例,10例再次PTCA成功。此外还有冠脉旋切术5例和支架术1例。并对RS进行临床和实验研究。
Our hospital since 1986, completed a total of 1000 cases of coronary angiography, since December 1987 to date carried out in 165 cases of percutaneous transluminal coronary angioplasty (PTCA), dilation of blood vessels 198 and lesions of 224. Success rates were 92.7%, 93.9% and 93.7% respectively. Including complex PTCA 52 cases (31.5%), the success rate of 86.5%. Thirty-four cases (81%) dilated a single vessel and 31 cases (19%) dilated more than two vessels. Five cases of vascular bifurcation lesions were double balloon technique were successful. Twelve patients with complete obstruction of PTCA were successfully treated in 10 cases. Multi-vessel PTCA57 cases, to achieve complete recanalization in 31 cases, part of the recanalization in 26 cases. Acute myocardial infarction in emergency PTCA 4 cases, PTCA after thrombolysis in 47 cases. 3 cases of high-risk PTCA with perfusion balloon or coronary perfusion pump was successful. Fifteen patients underwent recurrence and transthoracic surgery to show restenosis (RS) in 14 patients, and 10 patients underwent PTCA again. In addition there are 5 cases of coronary angioplasty and stenting in 1 case. And RS clinical and experimental study.