紫杉醇药物球囊与药物洗脱支架在急性心肌梗死病变中疗效的比较被引量：7

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摘要通过机械方式开通闭塞血管,并且行支架植入术是目前对于急性心肌梗死患者治疗的最好方案[1];然而药物洗脱支架(DSE)因其聚合物涂层及金属钢梁残留血管内而容易导致晚期管腔丢失和支架内再狭窄的发生,需要行靶病变再次血运重建(TLR);金属支架永久留在体内、术后双联抗血小板治疗并发症等问题也愈发严重;药物涂层球囊(DCB)应运而生,它通过扩张冠状动脉病变处血管壁释放药物而抑制血管内膜增生,术后血管内无金属残留、可以降低血栓风险,缩短双联抗血小板时间。目前DCB治疗冠状动脉支架内再狭窄(ISR)疗效肯定,对于小血管病变也有一些证据支持[2,3]。然而药物球囊在急性心肌梗死介入治疗中的应用仍鲜有报道,本实验目的在于比较药物球囊与药物支架在急性心肌梗死急诊介入治疗中疗效的初步比较。报告如下。

作者刘飞君王慧峰

机构地区太原钢铁(集团)有限公司总医院心内科

出处《中国药物与临床》 CAS 2020年第5期791-793,共3页 Chinese Remedies & Clinics

关键词支架内再狭窄血管内膜增生急性心肌梗死药物球囊药物洗脱支架药物支架双联抗血小板小血管病变

分类号 R542.22 [医药卫生—心血管疾病]

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