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心肌血流储备分数在冠状动脉介入治疗术中的应用

戈睿佗 朱文青 王曼虹 虞旭东 张利勇

新医学2011,Vol.42Issue(8):499-501,3.
新医学2011,Vol.42Issue(8):499-501,3.DOI:10.3969/g.issn.0253-9802.2011.08.004

心肌血流储备分数在冠状动脉介入治疗术中的应用

The application of the myocardial fractional flow reserve in the coronary artery interventional therapy

戈睿佗 1朱文青 2王曼虹 1虞旭东 1张利勇1

作者信息

  • 1. 温州医学院附属乐清医院心内科,325600
  • 2. 复旦大学附属中山医院心内科,上海,200032
  • 折叠

摘要

Abstract

Objective: To study the effect of fractional flow reserve (FFR) in the coronary artery intervention-al therapy in treating borderline lesions. Methods: Twenty-four subjects with borderline lesions of 30% ~70% de-gree certified by the coronary angiography (CAG) were included. FFR of the target vessel was measured by pres-sure wire, and patients with FFR <0. 75 were further treated with PCI. All subjects were given the optimized drug therapy after the surgery. A 3-month follow-up was conducted to record the cardiac invents, cardiac function and the level of blood cholesterol. Results: There were 46 borderline lesions, and 11 of these in 8 subjects received PCI, the treatment rate of which was 22%. The 3-month follow-up showed that the total level of the cholesterol was significantly reduced. There were 2 cases of angina pectoris and no case of rehospitalization or cardiac death. Con-clusion; The application of myocardial FFR in the coronary artery interventional therapy in treating borderline lesions could be the reasonable guide for PCI.

关键词

冠状动脉介入治疗/临界病变/血流储备分数/冠状动脉造影

Key words

Coronary artery interventionanl therapy/ Borderline lesion/ Fractional flow reserve/ Coronary angiography

引用本文复制引用

戈睿佗,朱文青,王曼虹,虞旭东,张利勇..心肌血流储备分数在冠状动脉介入治疗术中的应用[J].新医学,2011,42(8):499-501,3.

新医学

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0253-9802

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