磁导航系统在急性冠状动脉综合征介入治疗中的初步应用研究
DOI:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

基金项目:


Clinical study on the invasive treatment in patients with non-ST-elevation acute coronary syndromes guided by the magnetic navigation system
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:探讨磁导航系统在非ST抬高型急性冠脉综合征(non-ST-elevation acute coronary syndromes,NSTE-ACS)介入治疗中应用的可行性和安全性-方法:连续选择接受磁导航辅助介入治疗的中-高危NSTE-ACS患者37例,分别记录靶病变特征-导丝通过病变的时间-X线暴露时间-造影剂用量和相关并发症-用STATA9.2软件进行数据分析-结果:磁导航引导治疗靶病变37处,其中A/B1型病变7处-B2型病变17处-C型病变13处-术前靶病变平均狭窄程度和长度分别为(88.07 ± 8.33)%和(27.08 ± 8.98) mm-在磁导航指引下,磁导丝顺利通过36处靶病变,病变通过率为97.3%;失败1例,磁导丝未能通过1处次全闭塞伴严重钙化病变-磁导丝通过靶病变的平均时间为(82.0 ± 67.9) s,其中A/B1-B2-C型病变的通过时间分别为(34.7 ± 4.5) s-(61.0 ± 14.7) s和(134.8 ± 92.6) s;X线平均暴露时间(62.6 ± 57.6) s,A/B1-B2-C型病变的暴露时间分别为(22.3 ± 4.7) s-(45.2 ± 14.5) s-(106.9 ± 78.4) s;造影剂平均用量(6.3 ± 4.6) ml,A/B1-B2-C型病变用量分别为(2.7 ± 0.7) ml-(5.1 ± 2.6) ml-(9.8 ± 5.7) ml-介入术中未出现与应用导丝相关的冠状动脉夹层-穿孔等并发症;术后未发生心血管复合事件-结论:磁导航系统应用于NSTE-ACS的辅助介入治疗有可行性,磁导丝病变通过率高-安全性好-

    Abstract:

    Objective:To investigate the efficacy and safety of magnetic navigation system in patients with non-ST-elevation acute coronary syndromes(NSTE-ACS). Methods: Total 37 consecutive patients with NSTE-ACS were assigned to undergo magnetic guide-wire navigation PCI(MPCI). Time to cross lesion,fluoroscopy time,contrast usage to cross lesion and procedure-related complication were recorded and analyzed. Results: Of the 37 culprit lesions in MPCI,36 were crossed successfully giving a success rate of 97.3%. The average stenosis of the target lesions was(88.07 ± 8.33)%,mean length was(27.08 ± 8.98) mm. The procedure and the fluoroscopy time to cross the lesion in the magnetic PCI were (82.0 ± 67.9) s and(62.6 ± 57.6) s,respectively. The contrast medium used to cross lesion were(6.3 ± 4.6) ml. The failed lesion was a subtotal stenosis combined with severe calcification. No magnetic navigation system associated complications or major adverse cardiac events were observed in MPCI. Conclusion: It is feasible and safe to use the magnetic navigation system as a tool for treatment in patients with NSTE-ACS.

    参考文献
    相似文献
    引证文献
引用本文

王 晖,杨吉猛,李春坚,王连生,朱铁兵,杨志健,曹克将.磁导航系统在急性冠状动脉综合征介入治疗中的初步应用研究[J].南京医科大学学报(自然科学版),2012,(1):141-144

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2011-05-27
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期:
  • 出版日期:
通知关闭
郑重声明