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|本期目录/Table of Contents|

SAL指引导管使用56例初步经验

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2012年第4期
页码:
496-497，513
栏目:
临床研究
出版日期:
2012-08-25

文章信息/Info

Title:
Experiences of using guiding catheter SAL for percutaneous coronary intervention in 56 patients
作者:
梁思文; 陈 晖; 赵慧强; 李东宝; 王 雷; 李虹伟
(首都医科大学附属北京友谊医院心血管中心心内科,北京 100050)
Author(s):
LIANG Si-wen;  CHEN Hui;  ZHAO Hui-qiang;  LI Dong-bao;  WANG Lei;  LI Hong-wei
(Department of Cardiology, Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing 100050, China)
关键词:
经皮冠状动脉介入治疗; 指引导管; 右冠状动脉; 复杂病变
Keywords:
percutaneous coronary intervention;  guiding catheter;  right coronary artery;  complex lesion
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的:初步总结短头AL（short amplatz left，SAL）指引导管（guiding catheter，GC）的使用经验，评价SAL GC的使用特点及安全性。方法： 回顾分析总结我科56例使用SAL导管行右冠状动脉（RCA）介入治疗患者的影像特点，操作过程及最终结果。56例患者中慢性完全性闭塞（CTO）病变29例；病变迂曲8例；病变明显钙化10例；迂曲并发钙化5例；病变位于RCA远端且近中段迂曲14例。结果： 56例患者中SAL GC成功到位53例（95%），3例不能到位。53例使用SAL GC完成PCI手术，PCI成功46例，成功率87%，失败7例（13%），均为CTO病变；CTO病变的成功率为76%（22/29），失败原因为导丝不能通过5例，术中过敏反应1例，心室颤动1例，均顺利中止手术。56例中无1例发生RCA开口或近端夹层，也无右窦内夹层发生。结论： SAL GC操作简单，容易到位，适合大部分RCA复杂病变，具有良好的安全性。
Abstract:
AIM:To summarize our experience with the use of guiding catheter (GC) SAL (Medtronics) for percutaneous coronary intervention (PCI) in 56 patients. METHODS: Data were analyzed retrospectively in 56 patients who underwent coronary angiography (CAG) and PCI using SAL GC from July 2011 to January 2012. In all the patients, right coronary arteries (RCA) were the culprit arteries and the culprit lesions in RCA were complex lesions, including 29 chronic total occlusive lesions (CTO), ten calcified lesions, eight tortuous lesions, and 14 distal lesions with tortuous RCA. RESULTS: SAL GC was used successfully in 53/56 patients and failed in placement of three patients. The success rate of PCI was 86.8% (46/53) and PCI failed in seven patients with CTO. No dissection occurred in RCA or aortic sinus during the procedure. CONCLUSION: SAL GC can be used successfully in most complex lesions in RCA with good safety.

参考文献/References

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[2]中华医学会心血管病学分会,中华心血管病杂志编辑委员.经皮冠状动脉介入治疗指南(2009)[J].中华心血管病杂志,2009,37(1):4-25.

[3]ACC/AHA Task Force.Guidelines for percutaneous transluminal coronary angioplasty.A report of the American college of Cardiology/American heart association task force on assessment of diagnostic and therapeutic cardiovascular procedures(subcommittee on percutaneous transluminal coronary angioplasty)[J].J Am Coll Cardiol,1988,12(2):529-545.

[4]Stone GW,Kandzari DE, Mehran R,et al.Percutaneous recanalization of chronically occluded coronary arteries:a consensus document: Part I[J].Circulation,2005,112(15):2364-2372.

[5]Fajadet J,Hayerizadeh BF,Ali HH,et al.Transradial approach for interventional procedures.The paris course on revascularization 2001[J].Europa Edition,2001,5(1):1-28.

[6]Kim JY,Yaon J,Jung HS,et al.Pereutaneous coronary stenting in guide-induced aortocoronary dissection:angiographic and CT findings[J].Int J Cardiovasc Imaging,2005,21(4):375-378.

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备注/Memo

备注/Memo:
收稿日期：2012-01-16.通讯作者：赵慧强，副主任医师，主要从事冠心病的基础与临床 研究Email：zhaohq05@yahoo.com.cn 作者简介：梁思文，主治医师，硕士Email：simondoctor@163.com
更新日期/Last Update: 2012-07-20