医学上所说的pci术是什么意思
那不是和PTCA一样
推荐回答(5个)
经皮冠状动脉介入治疗( percutaneous coronary intervention,PCI)
PCI是指经心导管技术疏通狭窄甚至闭塞的冠状动脉管腔,从而改善心肌的血流灌注的治疗方法。
PCI应用的指征:
1、 对于慢性稳定型冠心病有较大范围心肌缺血证据的患者,介入治疗是缓解症状的有效方法之一。
2、 不稳定心绞痛和非ST段抬高性心肌梗死的高危患者,提倡尽早介入治疗。
3、 对于急性ST段抬高性心肌梗死患者早期治疗的关键在于开通梗死相关血管(IRA),尽可能挽救濒死心肌,降低患者急性期的死亡风险并改善长期预后。
![](/picurl?url=https%3A%2F%2Fiknow-pic.cdn.bcebos.com%2F86d6277f9e2f070816e8d3e9e724b899a801f26e%3Fx-bce-process%3Dimage%252Fresize%252Cm_lfit%252Cw_600%252Ch_800%252Climit_1%252Fquality%252Cq_85%252Fformat%252Cf_auto)
扩展资料:
PCI治疗的常见并发症:
1、冠状动脉痉挛:在冠脉造影或介入过程中,冠状动脉局部或弥漫的持续性收缩造成管腔狭窄,甚至闭塞。发生率在1%-5%之间。
冠脉痉挛可以为自发,也可以为对比剂或器械操作诱发。冠脉痉挛时可无明显症状,也可出现明显的缺血症状,如胸痛、心肌梗死、心律失常,严重时可导致死亡。冠脉痉挛发生时可冠脉内注射硝酸甘油或钙拮抗剂。
2、冠状动脉穿孔:比较罕见,但危害较大。表现为造影剂外渗至心包内,严重时可导致心包积血、心包压塞。
大多数冠脉穿孔与介入操作有关,比如:导丝穿透血管壁;旋磨导致血管壁组织损伤;球囊膨胀过大导致血管壁过度拉伸等。
3、冠脉夹层:多见于球囊预扩张病变时,是导致冠脉急性闭塞的主要原因。表现为造影可见的管腔内充盈缺损、管腔外造影剂滞留或可见内膜片。
4、冠状动脉急性闭塞:PCI时或PCI后冠脉血流发生阻滞或减慢。是PTCA时代的主要并发症之一,可以导致心绞痛、心肌梗死甚至死亡。支架应用后,冠脉急性闭塞的发生率明显减少。
5、支架内血栓形成:为一种少见但严重的并发症。分为急性血栓形成(术后24小时内)、亚急性血栓形成(术后24小时-30天)、晚期血栓形成(术后30天-1年)和极晚期血栓形成(术后1年以上)。
参考资料百度百科-PCI
经皮冠状动脉介入治疗(percutaneouscoronaryintervention,PCI)
PCI是指经心导管技术疏通狭窄甚至闭塞的冠状动脉管腔,从而改善心肌的血流灌注的治疗方法。
PCI应用的指征:
1、对于慢性稳定型冠心病有较大范围心肌缺血证据的患者,介入治疗是缓解症状的有效方法之一。
2、不稳定心绞痛和非ST段抬高性心肌梗死的高危患者,提倡尽早介入治疗。
3、对于急性ST段抬高性心肌梗死患者早期治疗的关键在于开通梗死相关血管(IRA),尽可能挽救濒死心肌,降低患者急性期的死亡风险并改善长期预后。
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扩展资料:
PCI治疗的常见并发症:
1、冠状动脉痉挛:在冠脉造影或介入过程中,冠状动脉局部或弥漫的持续性收缩造成管腔狭窄,甚至闭塞。发生率在1%-5%之间。
冠脉痉挛可以为自发,也可以为对比剂或器械操作诱发。冠脉痉挛时可无明显症状,也可出现明显的缺血症状,如胸痛、心肌梗死、心律失常,严重时可导致死亡。冠脉痉挛发生时可冠脉内注射硝酸甘油或钙拮抗剂。
2、冠状动脉穿孔:比较罕见,但危害较大。表现为造影剂外渗至心包内,严重时可导致心包积血、心包压塞。
大多数冠脉穿孔与介入操作有关,比如:导丝穿透血管壁;旋磨导致血管壁组织损伤;球囊膨胀过大导致血管壁过度拉伸等。
3、冠脉夹层:多见于球囊预扩张病变时,是导致冠脉急性闭塞的主要原因。表现为造影可见的管腔内充盈缺损、管腔外造影剂滞留或可见内膜片。
4、冠状动脉急性闭塞:PCI时或PCI后冠脉血流发生阻滞或减慢。是PTCA时代的主要并发症之一,可以导致心绞痛、心肌梗死甚至死亡。支架应用后,冠脉急性闭塞的发生率明显减少。
5、支架内血栓形成:为一种少见但严重的并发症。分为急性血栓形成(术后24小时内)、亚急性血栓形成(术后24小时-30天)、晚期血栓形成(术后30天-1年)和极晚期血栓形成(术后1年以上)。
参考资料/baike.baidu.com/item/%E7%BB%8F%E7%9A%AE%E5%86%A0%E7%8A%B6%E5%8A%A8%E8%84%89%E4%BB%8B%E5%85%A5%E6%B2%BB%E7%96%97/6512958?fromtitle=PCI&fromid=4695688&fr=aladdin"target="_blank"title="百度百科-PCI">百度百科-PCI
经皮冠状动脉介入治疗(percutaneous transluminal coronary intervention,PCI)是指采用经皮穿刺技术送入球囊导管或其他相关器械,解除冠状动脉狭窄或梗阻,重建冠状动脉血流的技术。
percutaneous transluminal coronary intervention
经皮冠状动脉介入术
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