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药物涂层球囊在直接经皮冠状动脉介入治疗中的临床应用研究进展

Clinical research progress of drug coated balloon in primary percutaneous coronary intervention

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药物洗脱支架(DES)植入是目前国内外指南推荐直接经皮冠状动脉介入治疗(PPCI)首选策略.DES植入损害血管自主舒缩且伴随支架血栓形成和支架内再狭窄风险,促使"介入无植入理念"提出.药物涂层球囊(DCB)通过与血管内皮接触可将药物均匀释放于血管内膜,有效抑制血管内膜过度增生,达到改善心肌血流灌注目的,实现介入无植入.目前少量研究报道了 DCB在直接经皮冠状动脉介入治疗中的临床疗效,文章就相关临床研究进展做一综述.
Drug eluting stent(DES)are widely recommended for primary percutaneous coronary intervention(PCI).However,DES implantation can affect vascular autoregulatory function and is linked to risks of stent thrombosis and in-stent restenosis.This has led to the proposal of the"no implant intervention"concept.Drug coated balloon(DCB)release medication uniformly upon contact with the vascular endothelium,effectively inhibiting excessive intimal hyperplasia and im-proving myocardial perfusion without the need for permanent implants.While limited studies have reported on the clinical efficacy of DCB in Primary PCI(PPCI),this article provides a review of the relevant clinical research progress.

Percutaneous coronary interventionDrug coated balloonDrug eluting stent

冯欧花、刘惠良、张飞飞

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050300 石家庄,井陉县医院心内科

050051 石家庄,河北省人民医院心血管内科

经皮冠状动脉介入治疗 药物涂层球囊 药物洗脱支架

2024

疑难病杂志
中国医师协会

疑难病杂志

CSTPCD
影响因子:1.171
ISSN:1671-6450
年,卷(期):2024.23(11)