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目的分析国人冠状动脉解剖变异情况及检出率,总结对起源异常的冠状动脉狭窄行介入治疗的体会。方法回顾性总结2010年在我中心接受冠状动脉造影检查的3015例患者,分析42例解剖异常的冠状动脉,总结5例起源异常合并狭窄冠状动脉的经皮冠状动脉介入治疗(PCI)。结果 3015例冠状动脉造影(CAG)患者中检出解剖变异占1.39%(42例),其中冠状动脉起源异常占0.93%(28例),冠状动脉肺动脉瘘占0.27%(8例),冠状动脉左室瘘占0.07%(2例),冠状动脉右室瘘占0.07%(2例),冠状动脉左房瘘占0.03%(1例),冠状动静脉瘘占0.03%(1例)。5例行PCI手术,4例成功,1例术中放弃,未发生严重并发症。结论对起源异常冠状动脉合并狭窄病变进行PCI是安全可行的。
Objective To analyze the anatomic variation and detection rate of coronary artery in Chinese and to summarize the experience of interventional treatment of coronary artery stenosis with abnormal origin. Methods A retrospective review of 3015 patients undergoing coronary angiography at our center in 2010 was performed. 42 cases of anatomical abnormalities were analyzed and 5 cases of percutaneous coronary intervention (PCI) with abnormalities of origin and stenosis were summarized. Results There were 1.39% (42 cases) of anatomic changes in 3015 cases of coronary angiography (CAG), of which 28 cases were caused by abnormalities of coronary artery origin, 0.27% (8 cases) of coronary arteriovenous fistula, coronary artery Left ventricular fistula accounted for 0.07% (2 cases), coronary articular right ventricular fistula accounted for 0.07% (2 cases), coronary artery left atrial fistula accounted for 0.03% (1 case) and coronary arteriovenous fistula accounted for 0.03% (1 case). 5 cases of PCI surgery, 4 cases were successful, 1 case gave up surgery, no serious complications. Conclusion PCI is safe and feasible for patients with abnormal coronary artery stenosis.