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目前,冠状动脉内支架植入术是冠心病血运重建的主要方法,支架置入可显著减少再狭窄和靶血管血运重建。虽然支架术后支架内血栓形成少见,但预后差,临床上可表现为急性心肌梗死或猝死。是药物洗脱支架的潜在危险,预防支架内血栓形成是冠状动脉粥样硬化性心脏病介入领域的研究热点和难点,因此,支架内血栓的形成、防治问题仍然值得我们关注与探讨。本文阐明了早期支架内血栓的影响因素,预防,观察方法及治疗措施。使用新一代的药物洗脱支架有望减少支架内血栓的发生。
Currently, coronary stenting is the main method of revascularization of coronary heart disease. Stent implantation can significantly reduce restenosis and target revascularization. Although the stent after stent thrombosis rare, but the prognosis is poor, clinically manifested as acute myocardial infarction or sudden death. Is the potential risk of drug-eluting stents, prevention of intra-stent thrombosis is a hot and difficult point in the field of coronary heart disease intervention. Therefore, the formation and prevention and treatment of thrombosis in stents still deserve our attention and discussion. This article elucidates the factors that influence the early stent thrombosis, prevention, observation methods and treatment measures. The use of a new generation of drug-eluting stents is expected to reduce stent thrombosis.