Direct Coronary Intervention Therapy in Patients with Acute Myocardial Infarction
朱铁兵
杨志健
王连生
马根山
曹克将
黄峻
马文珠
1.Department of Cardiology, the First Affiliated Hospital of NJMU, Nanjing 210029 ,P. R. China2.Department of Cardiology, the First Affiliated Hospital of NJMU, Nanjing 210029 ,P. R. China3.Department of Cardiology, the First Affiliated Hospital of NJMU, Nanjing 210029 ,P. R. China4.Department of Cardiology, the First Affiliated Hospital of NJMU, Nanjing 210029 ,P. R. China5.Department of Cardiology, the First Affiliated Hospital of NJMU, Nanjing 210029 ,P. R. China6.Department of Cardiology, the First Affiliated Hospital of NJMU, Nanjing 210029 ,P. R. China7.Department of Cardiology, the First Affiliated Hospital of NJMU, Nanjing 210029 ,P. R. China
摘要：Objective To introduce the initial experience of direct pereutaneous transluminalcoronary angioplasty (PTCA) and intracoronary stenting in patients with acute myocardial infarction(AMl) from October t998 to Novermber 200l in our hospital. Methods Primary PTCA was per-formed in 38 patients with acute myocardial infarction. 29 cases were 20 male and 9 female, rangingin age from 30 to 76 old years. 23 cases hvad anterior and 15 lind inferior wall infarction. The patients we chose for direct coronary intervention therapy had stable hemodynamics. Of the 38 infarct re-lated arteries (IRA), 23 were left anterior descend arteries (LAD), 4 left circumflex (LCX) andl 1 right coronary arteries (RCA). 33 IRA were TIMI 0 flow and 5 TIMI 1 flow. The indicationsOf the 38 patients with AMI, PTCA tns successful in 35. Two patients were given up because 014guide-wire entered into false lumen. One was selected for emergency coronary artery bypass graft because of LAD infarct related artery accompanied by 70% stenosis of left main. 35 intracoronarystenls were implanted. 16 patients were followed up, of whom 2 patients trod restenosis and were suc-cessful in the second attempt. Conclusion Direct PTCA and stent implantation are effective andsafe means of treatment for AMI and stent implantation can prevent and cure the arute reocclusion after PTCA.
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分类号：R3(基础医学)
论文发表日期：2002-07-02
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：3( 127-129 )
英文信息