目的探讨分叉病变单支架术和双支架术的临床疗效。方法分析冠状动脉分叉病变102例的临床资料,其中52例行单支架术(单支架植入组)、50例行双支架术(双支架植入组)。单支架植入组仅主支植入支架,边支不植入支架;双支架植入组运用mini-crus...目的探讨分叉病变单支架术和双支架术的临床疗效。方法分析冠状动脉分叉病变102例的临床资料,其中52例行单支架术(单支架植入组)、50例行双支架术(双支架植入组)。单支架植入组仅主支植入支架,边支不植入支架;双支架植入组运用mini-crushing技术行双支架植入术。观察两组分叉病变的手术即刻及术后6个月临床疗效及主要心血管事件的发生情况。结果术后即刻冠状动脉造影结果显示两组主支血管心肌梗死溶栓试验(thrombolysis in myocardial infarction,TIMI)血流3级、分支血管TIMI血流3级、主支血管残余狭窄>30%、分支血管残余狭窄>50%四个指标比较,均差异无统计学意义(P>0.05)。随访6个月后对两组进行冠状动脉造影后发现,分支血管残余狭窄﹥50%在单支架植入组发生率高于双支架植入组,差异有统计学意义[25.0%(13/52)vs.12.0%(6/50),P<0.05];其余几项两组比较,差异无统计学意义(P>0.05)。住院期间单支架植入组1例(1.92%)发生主要心血管事件,双支架植入组2例(4.00%)发生主要心血管事件。6个月后,单支架植入组8例(15.38%)发生主要心血管事件,双支架植入组7例(14.00%)发生主要心血管事件。结论单支架术与双支架术治疗分叉病变短期观察临床疗效基本无差异,其长期疗效还需进一步研究。展开更多
Endoscopic intervention is less invasive than percutaneous or surgical approaches and should be considered the primary drainage procedure in most cases with obstructive jaundice.Recently,therapeutic endoscopic retrogr...Endoscopic intervention is less invasive than percutaneous or surgical approaches and should be considered the primary drainage procedure in most cases with obstructive jaundice.Recently,therapeutic endoscopic retrograde cholangiopancreatography(ERCP) using double-balloon enteroscopy(DBE) has been shown to be feasible and effective,even in patients with surgically altered anatomies.On the other hand,endoscopic partial stent-in-stent(PSIS) placement of selfexpandable metallic stents(SEMSs) for malignant hilar biliary obstruction in conventional ERCP has also been shown to be feasible,safe and effective.We performed PSIS placement of SEMSs for malignant hilar biliary obstruction due to liver metastasis using a short DBE in a patient with Roux-en-Y anastomosis and achieved technical and clinical success.This procedure can result in quick relief from obstructive jaundice in a single session and with short-term hospitalization,even in patients with surgically altered anatomies.展开更多
文摘目的探讨分叉病变单支架术和双支架术的临床疗效。方法分析冠状动脉分叉病变102例的临床资料,其中52例行单支架术(单支架植入组)、50例行双支架术(双支架植入组)。单支架植入组仅主支植入支架,边支不植入支架;双支架植入组运用mini-crushing技术行双支架植入术。观察两组分叉病变的手术即刻及术后6个月临床疗效及主要心血管事件的发生情况。结果术后即刻冠状动脉造影结果显示两组主支血管心肌梗死溶栓试验(thrombolysis in myocardial infarction,TIMI)血流3级、分支血管TIMI血流3级、主支血管残余狭窄>30%、分支血管残余狭窄>50%四个指标比较,均差异无统计学意义(P>0.05)。随访6个月后对两组进行冠状动脉造影后发现,分支血管残余狭窄﹥50%在单支架植入组发生率高于双支架植入组,差异有统计学意义[25.0%(13/52)vs.12.0%(6/50),P<0.05];其余几项两组比较,差异无统计学意义(P>0.05)。住院期间单支架植入组1例(1.92%)发生主要心血管事件,双支架植入组2例(4.00%)发生主要心血管事件。6个月后,单支架植入组8例(15.38%)发生主要心血管事件,双支架植入组7例(14.00%)发生主要心血管事件。结论单支架术与双支架术治疗分叉病变短期观察临床疗效基本无差异,其长期疗效还需进一步研究。
文摘Endoscopic intervention is less invasive than percutaneous or surgical approaches and should be considered the primary drainage procedure in most cases with obstructive jaundice.Recently,therapeutic endoscopic retrograde cholangiopancreatography(ERCP) using double-balloon enteroscopy(DBE) has been shown to be feasible and effective,even in patients with surgically altered anatomies.On the other hand,endoscopic partial stent-in-stent(PSIS) placement of selfexpandable metallic stents(SEMSs) for malignant hilar biliary obstruction in conventional ERCP has also been shown to be feasible,safe and effective.We performed PSIS placement of SEMSs for malignant hilar biliary obstruction due to liver metastasis using a short DBE in a patient with Roux-en-Y anastomosis and achieved technical and clinical success.This procedure can result in quick relief from obstructive jaundice in a single session and with short-term hospitalization,even in patients with surgically altered anatomies.
