非顺应性球囊后扩张对冠状动脉药物洗脱支架植入后支架内亚急性血栓的影响

    Influence of postdilatation with noncompliance balloon on subacute thrombosis after intracoronary drug-eluting stent implantation

    • 摘要: 目的: 评价非顺应球囊后扩张对药物洗脱支架(DES)植入后支架内亚急性血栓的影响。方法: 2006年1月~2008年9月住院并植入DES共305例,根据是否采用非顺应球囊后扩张分为非后扩张组及后扩张组,记录所有患者的临床特征、冠脉病变情况、DES植入情况及亚急性血栓形成情况,观察并分析非顺应性球囊后扩张患者发生亚急性血栓形成的情况。结果: 两组患者的临床特征、冠脉病变情况、支架植入数量及平均长度均无统计学差异。非后扩张组及后扩张组支架内亚急性血栓发生率分别为1.2%和0%,没有统计学差异。结论: 非顺应性球囊后扩张不能显著降低DES植入后亚急性血栓发生率。

       

      Abstract: AIM: To evaluate the influence of postdilatation with noncompliance balloon on subacute thrombosis after implanting intracoronary drug-eluting stents (DES). METHODS: A cohort of 305 consecutive coronary heart disease patients with DES implanted from January 2006 to September 2008 were divided into two groups: postdilatation group and non-postdilatation group. Clinical features, pathological changes of coronary arteries, implantation of drug-eluting stents and formation of subacute thrombosis were recorded and compared. Effects of postdilatation on subacute thrombosis were observed and analyzed. RESULTS: No statistical differences were observed in clinical features, pathological changes of coronary arteries and the number of DES implanted between groups. The rates of subacute thrombosis in the two groups were 1.2% and 0%, respectively, with no significant difference. CONCLUSION: Postdilatation with noncompliance balloon after DES deployment did not significantly reduce the rate of subacute thrombosis.

       

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