Objective To explore the risk point of coronary stent adverse events and offer the risk control measures respectively. Methods A total of 108 cases of coronary stent adverse events were collected from the domestic literature and analyzed retrospectively. Results The primary lesions of coronary stent adverse events were grouped into three categories: the intraoperative and postoperative secondary diseases, the device operated differently than expected or device malfunction, the signs and symptoms after stent implanted. The most common event consequence was needed for internal, surgical treatment to avoid permanent damage to the body structure. Conclusion The injury of stent thrombosis was the most severe and the in-stent restenosis was the most common risk point in all of the coronary stent adverse events. The control measures should be taken at same time by the manufacturing enterprises of medical device, the medical institutions and the supervision departments to decrease the risk of coronary stent in clinic.%目的 探讨心脏血管内支架不良事件风险点,提出风险控制措施.方法 收集国内文献中有关心脏血管内支架可疑不良事件108例进行回顾性分析.结果 心脏血管内支架不良事件主要伤害可分为3类:①术中或术后的继发疾病;②植入过程中或植入后支架本身出现异常;③支架植入后患者各种不适症状和体征异常.最常见的事件后果为需要内、外科治疗避免机体结构永久损伤.结论 支架内血栓是伤害后果最严重的风险点.支架内再狭窄是心脏血管内支架最常见的风险点.需要生产企业、医疗机构和监管部门共同采取措施减少心脏血管内支架产品的临床使用风险.
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