【摘要】 对２８例３２处复杂性冠状动脉（冠脉）病变的病人行冠脉内支架置入术，置入ＰａｌｍａｔｚＳｃｈａｔｚ型支架３２个，Ｇｉａｎｔｕｒｃｏ－Ｒｏｕｂｉｎ型支架４个，其中２例置入３个支架，２例由于病变较长，故在同一病变部位置入２个支架，２例因置入支架时造成病变近端血管撕裂而重新置入另一个支架，支架置入成功率１００％，２例出现局部血管撕裂，１例术后股动脉穿刺部位血肿，２例出院后口服华法令过程中出现皮肤淤斑，１例出现肉眼血尿，无其它并发症。有５例术后半年行冠脉造影示支架部位血流通畅，无再狭窄发生。更多还原

【Abstract】 From Jan 1994 to April 1996. intracoronary stenting was performed in 28 patients with 35 complex coronary lesions(type B & C) using the Palmaz-Schatz stents(n=33) or Gianturco-Roubin stents(n=4). There were 26 males and 2 females with a mean age of 59.0±12.8(range 46-70) yrs. Thirteen patients had a history of old myocardial infarction. Three stents were placed during one procedure in 2 patients, and 2 stents in one procedure in 2 patients. The procedure success rate was 100%, However,severe dissection at the proximal end of lesion occurred in 2 patients and 2 additional stents were implanted with satisfactory results. The stenosis was reduced from 85.4%±10.3% to 0.0% following stenting. Hematoma was found in the puncture site within 24 hours after procedure without blood transfusion in one patient. Hematuria occurred in one patient and subcutaneous hemorrhage occurred in two cases after Warfarin give,but disappeared after reducing dosage of Warfarin, Repeat angiograhy in 5 patients 6 months after stenting showed no significant restenosis. Our data suggest that intracoronary stenting is an effective and safe method for patients with complex coronary lesions, Further follow-up is necessary.更多还原