Clinical application of emergency percutanous coronary intervention in the treatment of acute myocardial infarction
- VernacularTitle:基层医院急诊冠状动脉介入治疗急性心肌梗死的临床应用研究
- Author:
Jianhua LU
;
Yunzhao HU
;
Yi ZHOU
;
Yanxian WU
;
Zongyun HE
- Publication Type:Journal Article
- Keywords:
Myocardial infaretion;
Angioplasty,percutaneous coronary artery
- From:
Chinese Journal of Primary Medicine and Pharmacy
2008;15(12):2016-2017
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the immediate and following up result of 122 patients with acute myocardlal infarction(AMI)which underwent emergency percutaneous coronary interventlon(PCI).Methods 122 cases of AMI patients underwent the emergency PCI by transfemoral artery approach during June 1998 to December 2005.119 casea performed primary PCI,3 performed rescue PCI.Results The successful rate of vessel visualization and operation were 95.1%.93.4%.respectively.5 eases were with the help of intra-aortic balloon pumping.Subacute instent thrombosis occurred in 2 patients.In-hopital mortality was 4.1% (5/122).The left ventricular ejection fraction in echocardiography one after week was(0.55±0.16).Average hospital day is(9.5±5.8)(1～36).6-month mortality was 5.7%(7/122).Conclusion Primary PCI expanded the indication for the treatment of STEMI patients wlth establishment of patent infarct related artery and normal blood flow,increased tlle survival of high-risk patients,and shortened the hospitalization.Rescue PCI was an effective measure for the patients failing to intravenous thrombolysis.
