[1]吴 鹏,李 平,缪 绯,等.冠状动脉瘤临床诊治策略相关探讨[J].介入放射学杂志,2018,27(11):1023-1026.
 WU Peng,LI ping,MIAO Fei,et al.Clinical diagnosis and treatment strategy of coronary artery aneurysm[J].journal interventional radiology,2018,27(11):1023-1026.
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冠状动脉瘤临床诊治策略相关探讨()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
27
期数:
2018年11期
页码:
1023-1026
栏目:
心脏介入
出版日期:
2018-11-25

文章信息/Info

Title:
Clinical diagnosis and treatment strategy of coronary artery aneurysm
作者:
吴 鹏 李 平 缪 绯 朱贤章
Author(s):
WU Peng LI ping MIAO Fei ZHU Xianzhang.
Department of Cardiology, Yulin Municipal First People’s Hospital, Sixth Affiliated Hospital of Guangxi Medical University, Yulin, Guangxi Zhuang Autonomous Region 537000, China
关键词:
【关键词】 冠状动脉瘤 冠状动脉造影 药物治疗 覆膜支架 疗效
文献标志码:
A
摘要:
【摘要】 目的 探讨冠状动脉瘤(CAA)临床诊断方法优势与不足,观察经皮覆膜支架隔绝封堵术临床疗效。方法 回顾性收集2014年1月至2016年5月收治并确诊的48例CAA患者临床资料,其中33例接受药物保守治疗(药物治疗组),15例接受覆膜支架隔绝封堵术(支架植入组)。对比分析诊治策略及治疗后临床效果、并发症发生情况等。结果 48例CAA患者临床资料分析结果显示心电图、心脏X线片及心脏彩色超声检查对CAA检出率低,CTA、MR检出率稍高,冠状动脉造影(CAG)可提供准确有效的影像学诊断依据。治疗后随访6个月,药物治疗虽为CAA基本治疗方法,但疗效有限;支架植入疗效良好,手术相关并发症少。结论 CAG是诊断CAA最准确有效方法。与传统外科手术相比,覆膜支架隔绝封堵术治疗CAA具有创伤小、风险较低、手术时间短、疗效较肯定等优势,值得临床推广。

参考文献/References:

[1] 陈晓飒. 不典型川崎病合并冠状动脉瘤1例[J]. 实用医学杂志, 2006, 22: 2300.
[2] Lin WY, Liu HP, Chang JS, et al. Genetic variations within the PSORS1 region affect Kawasaki disease development and coronary artery aneurysm formation[J]. BioMedicine, 2013, 3: 73- 81.
[3] 陈玉东, 王青海. 支架置入术后冠状动脉瘤样扩张的临床研究[J]. 中国介入心脏病学杂志, 2011, 19: 153- 155.
[4] Hwang TH, Sang DP, Yong SB, et al. Successful treatment of a coronary artery aneurysm that developed with in- stent restenosis after drug- eluting stent implantation[J]. Korean J Med, 2014, 86: 608.
[5] 杨金炜, 李冠海, 张明德. 左冠状动脉窦瘤一例[J]. 介入放射学杂志, 2012, 21: 152- 153.
[6] 许 哲, 吕 明, 张 帆, 等. 冠状动脉瘤一例[J]. 介入放射学杂志, 2002, 11: 134.
[7] 汪 浩, 肖 骏, 张 泰. 巨大冠状动脉瘤样扩张并发急性心肌梗死一例[J]. 中国循环杂志, 2016, 31: 877- 877.
[8] 陈章炜, 钱菊英, 葛均波. 弥漫性巨大冠状动脉瘤样扩张并发心肌梗死一例[J]. 中华心血管病杂志, 2011, 39: 270- 271.
[9] Darbari A, Singh D, Tandon S. Cardiac computed tomography as a diagnostic tool for coronary artery aneurysm following percutaneous coronary intervention[J]. Ann Card Anaesth, 2012, 15: 158- 160.
[10] Diaz- Zamudio M, Bacilio- Perez U, Herrera- Zarza MC, et al. Coronary artery aneurysms and ectasia: role of coronary CT angiography[J]. Radiographics, 2009, 29: 1939- 1954.
[11] Syed M, Leach M. Coronary artery aneurysm: a review[J]. Prog Cardiovasc Dis, 1997, 40: 77- 84.
[12] 自小涓, 王景全, 李 茵, 等. 心肌局部缺氧引起冠状动脉扩张的实验研究[J]. 中华医学杂志, 1998, 78: 525- 530.
[13] Szalat A, Durst R, Cohen A, et al. Use of polytetrafluoroethylene- covered stent for treatment of coronary artery aneurysm[J]. Catheter Cardiovasc Interv, 2005, 66: 203- 208.

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备注/Memo

备注/Memo:
 (收稿日期:2017-05-06)
(本文编辑:边 佶)
更新日期/Last Update: 2018-11-16