经皮冠状动脉介入术后冠状动脉无复流现象的研究进展

摘要

经皮冠状动脉介入术(PCI)是目前心肌血运重建的主要手段,其可迅速开通梗死相关动脉,恢复心肌血运,保护心功能,但无复流现象严重影响PCI临床疗效及患者预后.无复流现象是PCI常见并发症之一,是指在冠状动脉无明显持续性机械性病变情况下发生向前血流明显减慢或完全无血流的现象.本文综述了PCI后冠状动脉无复流现象的研究进展,以期为临床有效防治无复流现象提供参考.%At present,percutaneous coronary intervention(PCI)is the main method of myocardial revascularization,it can quickly open the infarct-related artery,restore myocardial blood flow and protect cardiac function, but no-reflow phenomenon may badly affect the clinical effect of PCI and the patients'prognosis. No-reflow phenomenon is one of common complications of PCI,means coronary forward flow significantly slow down or completely absent without apparently continuous mechanical lesion. Therefore,this paper reviewed the progress on coronary no-reflow phenomenon after PCI,to provide a reference for the effective prevention and treatment of no-reflow phenomenon.