BƯỚC đầu ĐÁNH GIÁ kết QUẢ CHỤP CAN THIỆP ĐỘNG MẠCH VÀNH QUA DA tại BỆNH VIỆN đk TỈNH BÌNH ĐỊNH

419

T QU CHP, CAN THING MCH VÀNH QUA
DA TI BNH VINH

Nguyễn Minh Toàn, Bùi Xuân Nghĩa
Bnh vinh


Mục tiêu: 

Đối tượng và phương pháp: 


Kết quả: 



Kết luận: 


Từ khóa: 

SUMMARY
EVALUATE RESULTS OF CORONARYANGIOGRAPHY CASES WITH OR
WITHOUT PERCUTANEOUS CORONARY INTERVENTION (PCI) AT BINHDINH

GENERAL HOSPITAL.
Objectives: To study morphology of coronary angiopraphic lesions and evaluate results of
PCI therapeutics in BinhDinh General Hospital.
Methods: A cross-sectional, descriptive, retrospective study of all 106 coronaryangiography
cases with or without PCI at BinhDinh General Hospital from 05/2010 to 12/2010.
Results: In 71 cases detected. We performed PCI in 37 cases, 10 cases were over-indicated.
Culprit lesion in left anterior descending (LAD) was 81.69%, in right coronary artery (RCA) was
53.52%, in left circumplex artery (LCx) was 39.43%. The percentage of angiographic success
100%, procedural success 100%.
Conclusions: In some certain aspects, we have some good results initially. Now we need
much more time to get more patients, to follow up our patients and to evaluate quality treatment
and long-term results.

Keywords: Coronary artery, percutaneous coronary intervention.





 

            
Coronary Angioplasty - PTCA hay Percutaneous Coronary Intervention - 








420







Xử lý số liệung kê y




3.1.1. Tuổi và giới


< 30
30-49
50-69


n=106
2
23
58
23
%
1.89
21.7
54.51
21.7






%

91
85.84

8
7.54

74

69.81

65
61.32

15
14.15

56
52.83

18

16.98
3.1.2. Kết quả chụp động mạch vành


)
%

11
10.38

42
39.62


12
11.32

18
16.98

21
19.8

2
1.89



3.1.3. Đặc điểm tổn thương động mạch vành



%
Thân chung trái
2
2.8

58

81.69

28
39.43

38
53.52



%


35
49.30

21
29.58

15
21.12

421

3.2.1. Lựa chọn bệnh nhân: 








15
21.12

9
12.67


37
52.11

10
14.1
3.2.2. Kết quả nong, đặt stent động mạch vành




Thành công

37
100








                





 

              
 




(39.43%).





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
              
    

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




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
422
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







1. 



              


3. Can t




1. 

 
vành, Báo cáo tổng kết đề tài NCKH thuộc đề tài cấp nhà nước – KHCN11 – 15 – 2000,
tr. 69-96.
2. 
 
Kỷ yếu toàn văn các đề tài khoa học
-2004, tr. 145-154.
3.           

Bệnh học Tim mạch tập 1, tr. 155-169.
4. Eric J. Topol (2008), Coronary intervention, Textbook of interventional cardiology.
5. ACC/AHA Guidelines for Coronary Angiography (1999), A report of the American
College of Cardiology/ American Heart Association Task Force on Practice Guidelines, J
Am Coll Cardiol, 33: 1262-346.
6. Seung-Jung Park (2009), Complications of Percutaneous Coronary Intervention, Complex
angioplasty, 11: 179-182.
7. Thomas H. Lee (2005), Primary Percutaneous Coronary Intervention in Acute
Myocardial Infarction, Heart Disease, 7
th
Edition, Volume 2, Chapter 48: 1240-1242.