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目的探讨成人冠状动脉造影人群冠状动脉畸形的类型及其发生率以及经皮冠状动脉成形术中正确选择指引导管的重要性。方法 2003年3月-2014年10月共14000例冠状动脉造影检查,对检出有冠脉畸形患者的影像资料进行了回顾性分析,根据冠脉畸形的解剖学特征进行分类,并对冠脉畸形进行PCI患者所选用的指引导管进行统计研究。结果14000例冠脉造影患者共检查出冠状动脉畸形214例,发生率为1.53%;对其中104例不同畸形类型冠状动脉粥样硬化性心脏病进行PCI患者进行了回顾性分析,100例成功。其中死亡1例,并发症1例,失败2例。结论冠状动脉造影术是有效检出冠脉畸形的检查方法,根据不同类型的冠脉畸形选择合适的指引导管可明显增加PCI成功率。
Objective To investigate the types of coronary artery abnormalities and its incidence in adults with coronary angiography and the importance of correctly selecting the guiding catheter in percutaneous transluminal coronary angioplasty. Methods From March 2003 to October 2014, a total of 14,000 cases of coronary angiography were performed. The imaging data of patients with coronary artery deformity were retrospectively analyzed. According to the anatomic characteristics of coronary artery deformity, the images of coronary artery Deformity PCI patients selected guidelines catheter for statistical studies. Results A total of 214 cases of coronary artery malformations were detected in 14,000 cases of coronary angiography, the incidence rate was 1.53%. One hundred and four patients with coronary artery atherosclerotic heart disease were retrospectively analyzed in 104 cases. 100 cases were successful. Among them, 1 patient died, 1 patient had complications and 2 patients failed. Conclusion Coronary angiography is an effective method to detect coronary artery deformity. Choosing the appropriate guide catheter according to different types of coronary anomalies can significantly increase the success rate of PCI.