Therapeutic effect of self made balloon with side hole perfusion on no reflow after emergency percutaneous coronary intervention
10.3969/j.issn.1004-8812.2016.09.003
- VernacularTitle:自制带侧孔灌注球囊对急诊经皮冠状动脉介入治疗术后无复流的治疗作用
- Author:
Libin ZHANG
;
Shunjin GAN
;
Jincheng GUO
;
Guowang GAO
;
Lixin ZHANG
- Publication Type:Journal Article
- Keywords:
Acute myocardial infarction;
Percutaneous coronary intervention;
Self made with side hole perfusion balloon;
No reflow
- From:
Chinese Journal of Interventional Cardiology
2016;24(9):493-496
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the therapeutic effect of self made balloon with side hole on no reflow ( NR) after emergency percutaneous coronary intervention ( PCI ) .Methods 48 patients with NR after PCI in our hospital were randomized into two groups , which were group A ( n=24 , patients received self made perfusion balloons with holes ) and group B ( n=24 , patients using direct guiding catheter ) and through respective devices intravascular tirofiban and verapamil were given .TIMI flow grade, recovery of myocardial enzymes and ST-segment elevation , LVEF and the incidence of MACE were compared between the 2 groups.Results Among patients in group A , the percentage of immediate postoperative TIMI Ⅲflow (79.2%vs.45.8%,P=0.032), ST segment resolution of more than 50% (83.3% vs.54.2%,P =0.029 ) and LVEF after 1 months [ ( 54.92 ±12.32 )% vs. ( 47.67 ±12.15 )%, P =0.046 ] were significantly higher than patients in group B .The CK peak value of patients in group A [ ( 1018.62 ± 732.34)mmol/L vs.(1497.75 ±858.63)mmol/L, P =0.043], CK-MB peak values [(113.84 ± 76.53 ) mmol/L vs.( 172.74 ±93.56 ) mmol/L, P=0.021 ] and MACE rates ( 0 vs.16.7%, P=0.037 ) were lower than those of patients in group B .Conclusions The use of self-made perfusion balloon with side hole for the treatment of NR patients after emergency PCI is convenient , easy and effective.
