[1]杜发旺.冠状动脉支架内血栓形成患者的危险因素及预后[J].介入放射学杂志,2016,(02):160-163.
 DU Fa- wang.Risk factors and prognosis of patients with coronary stent thrombosis [J].journal interventional radiology,2016,(02):160-163.
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冠状动脉支架内血栓形成患者的危险因素及预后 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2016年02期
页码:
160-163
栏目:
临床研究
出版日期:
2016-02-25

文章信息/Info

Title:
Risk factors and prognosis of patients with coronary stent thrombosis 
作者:
杜发旺
Author(s):
DU Fa- wang
Department of Cardiology, Guizhou Provincial People’s Hospital, Guiyang, Guizhou Province 550002, China
关键词:
【关键词】 冠状动脉疾病 药物涂层支架 支架内血栓 危险因素
文献标志码:
A
摘要:
【摘要】 目的 分析冠状动脉药物涂层支架术后支架内血栓形成患者的危险因素及预后。方法 回顾性分析2006年7月到2012年3月冠脉支架内血栓形成的患者39例,并按1 ∶ 2配对抽取同期复查冠脉造影术未见支架内再狭窄患者78例,作为对照组从中分析术后支架内血栓形成的危险因素。结果 首发为急性心肌梗死、罪犯血管的支架直径及长度、术前左室射血分数(LVEF)低(<50%)与支架内血栓形成相关。选择再次行急症经皮冠脉介入术(PCI)者33例,1例术后在院内死亡,余32例好转出院。结论 首发为急性心肌梗死、植入罪犯血管支架的直径较小及长度较长、术前LVEF低(<50%)是支架血栓形成的独立危险因素。支架长度≥29.5 mm或支架直径≤2.94 mm与较高的支架内血栓的发生率相关。药物涂层支架术后发生支架内血栓的患者多表现为急性心肌梗死,发生支架内血栓后死亡率高,但早期行急症PCI是安全、有效的治疗。

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备注/Memo

备注/Memo:
(收稿日期:2015-07-08)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2016-02-22