24-冠脉钙化病变的处理策略.ppt

血管多处夹层出现，患者出现胸闷等症状，被迫植入partner 2.5×36mm 支架@ 14atm 释放 * 支架中段明显腰征，不能充分扩张，再用NC Sprinter 2.5×9mm @ 30atm 后扩张 * 支架内残余狭窄明显，NC球囊2.75*12mm支架内14-18atm扩张 * 最终造影结果 支架内残余狭窄50%, 血流TIMI3级，术后低分子肝素5000u，bid 波立维150mg/d 随访3月，支架内狭窄无变化，病人无症状 * 小 结 钙化病变是临床常见的病理改变 严重的钙化病变明显增加PCI的手术风险和失败率，增加并发症和降低远期疗效 在术前应仔细阅读造影，术中使用IVUS指导手术策略和恰当的器材选用 * 谢 谢！ * This is the Bulleted List slide. To create this particular slide, click the NEW SLIDE button on your toolbar and choose the BULLETED LIST format. (Top row, second from left) The Sub-Heading and footnote will not appear when you insert a new slide. If you need either one, copy and paste it from the sample slide. If you choose not to use a Sub-Heading, let us know when you hand in your presentation for clean-up and we’ll adjust where the bullets begin on your master page. Also, be sure to insert the presentation title onto the BULLETED LIST MASTER as follows: Choose View / Master / Slide Master from your menu. Select the text at the bottom of the slide and type in a short version of your presentation title. Click the SLIDE VIEW button in the lower left hand part of your screen to return to the slide show. (Small white rectangle) This is the Bulleted List slide. To create this particular slide, click the NEW SLIDE button on your toolbar and choose the BULLETED LIST format. (Top row, second from left) The Sub-Heading and footnote will not appear when you insert a new slide. If you need either one, copy and paste it from the sample slide. If you choose not to use a Sub-Heading, let us know when you hand in your presentation for clean-up and we’ll adjust where the bullets begin on your master page. Also, be sure to insert the presentation title onto the BULLETED LIST MASTER as follows: Choose View / Master / Slide Master from your menu. Select the text at the bottom of the slide and type in a short version of your presentation title. Click the SLIDE VIEW button in the lower left hand part of your screen to return to the slide show. (Small white