论文部分内容阅读
目的:评价EXPORT血栓抽吸导管在冠状动脉介入治疗中使用的有效性及安全性。方法:17例患者在冠状动脉介入治疗中使用了EXPORT血栓抽吸导管。观察术中抽吸物质形态,TIMI血流恢复情况及术后心电图演变,并随访30d。结果:术中8例抽出条索状血栓,术毕最后血流为TIMI3级的12例(70.6%),ST段在2h内迅速回落超过50%的急诊患者有8例。无一例发生器械相关并发症。术后30d随访死亡1例(5.9%),轻微出血1例(5.9%),无心绞痛、心肌梗死及脑血管意外发生。结论:EXPORT血栓抽吸导管简单实用、安全可靠,在冠脉介入治疗中能有效减少血栓负荷,迅速恢复血流,改善患者预后。
Objective: To evaluate the effectiveness and safety of EXPORT thrombus aspiration catheter in coronary intervention. METHODS: 17 patients underwent EXPORT thrombus aspiration catheter during coronary intervention. The shape of aspiration material, the recovery of TIMI blood flow and postoperative electrocardiogram were observed and followed up for 30 days. Results: In the surgery, 8 cases of ciliary thrombus were withdrawn and the final blood flow was TIMI3 grade in 12 cases (70.6%). In STD patients, 8 cases were rapidly dropped over 50% in 2 hours. No device-related complications occurred. One patient (5.9%) died of follow-up 30 days after operation and 1 patient (5.9%) had mild bleeding without angina pectoris, myocardial infarction and cerebrovascular accident. Conclusions: The EXPORT thrombus aspiration catheter is simple and practical, safe and reliable. It can effectively reduce the thrombus load during coronary intervention and restore the blood flow quickly to improve the prognosis of the patients.