Direct Coronary Intervention Therapy in Patients with Acute Myocardial Infarction

Direct Coronary Intervention Therapy in Patients

with Acute Myocardial Infarction

朱铁兵;杨志健;王连生;马根山;曹克将;黄峻;马文珠

【期刊名称】《生物医学研究杂志（英文版）》 【年(卷),期】2002(016)003

【摘要】Objective To introduce the initial experience of direct pereutaneous

transluminalcoronary

angioplasty

(PTCA)

and

intracoronary stenting in patients with acute myocardial infarction(AMl) from October t998 to Novermber 200l in our hospital. Methods Primary PTCA was per-formed in 38 patients with acute myocardial infarction. 29 cases were 20 male and 9 female, rangingin age from 30 to 76 old years. 23 cases hvad anterior and 15 lind inferior wall infarction. The patients we chose for direct coronary intervention therapy had stable hemodynamics. Of the 38 infarct re-lated arteries (IRA), 23 were left anterior descend arteries (LAD), 4 left circumflex (LCX) andl 1 right coronary arteries (RCA). 33 IRA were TIMI 0 flow and 5 TIMI 1 flow. The indicationsOf the 38 patients with AMI, PTCA tns successful in 35. Two patients were given up because 014guide-wire entered into false lumen. One was selected for emergency coronary artery bypass graft because of LAD infarct related artery accompanied by 70% stenosis of left main. 35 intracoronarystenls were implanted. 16 patients were followed up, of whom 2 patients trod restenosis and were suc-cessful in the second