论文部分内容阅读
目的评价Rescue经皮血性吸除术对急性心肌梗死(AMI)血栓性病变的临床疗效及安全性。方法2000年11月至2002年11月用经皮血性吸除装置Rescue治疗8例急诊冠状动脉造影显示血栓性病变的AMI患者,均为男性,年龄46～75岁。重点观察Rescue血栓吸除术前后表面冠状动脉TIMI血流。结果8例AMI患者使用Rescue血栓吸除术后7例梗死相关血管(IRA)血流达TIMI3级,1例达TIMI2级,无1例出现栓塞和无复流现象。术后随访1年无主要心血管不良事件发生。结论Rescue血栓吸除术是治疗AMI血栓性病变的有效方法,可明显减少术后无复流的发生。
Objective To evaluate the clinical efficacy and safety of Rescue percutaneous hypoventilation in the treatment of thrombotic lesions of acute myocardial infarction (AMI). Methods From November 2000 to November 2002, 8 patients with AMI who had undergone thrombolysis for emergency coronary angiography were treated with Rescue by a transdermal aspiration device, all male, aged 46-75 years. Focus on Rescue thrombectomy before and after the surface of the coronary artery TIMI blood flow. Results The infarct-related blood vessels (IRA) of 8 patients with AMI were treated with Rescue thrombectomy. The infarct-related vessels (IRA) reached TIMI level 3 and TIMI level 2 in 1 patient. No embolization or no-reflow occurred in 1 patient. One year after follow-up no major cardiovascular adverse events occurred. Conclusion Rescue thrombectomy is an effective treatment for AMI thrombotic lesions, which can significantly reduce the incidence of postoperative no-reflow.