冠脉内血栓和无复流现象的机制及防治进展

摘要

直接经皮冠脉介入(pPCI)目前已成为急性ST段抬高型心肌梗死(STEMI)患者的首选策略,虽然pPCI能获得较好的临床疗效,但即使在成功的介入治疗后,无复流和冠脉血栓远端栓塞依然存在.本文就近年来PCI介入治疗中无复流和冠脉血栓远端栓塞的形成、机制及其防治做一综述.%Primary percutaneous coronary intervention (pPCI) has become the first choice for the acute ST-seg-ment elevation myocardial infarction patients. Although pPCI has good clinical effect, the no-reflow phenomenon and distal embolization of coronary artery thrombus still exist after the successful interventions. In this article, we review the mechanism and prevention in distal embolization of coronary thrombosis and no-reflow phenomenon in the PCI treat-ment in recent years.