冠状动脉支架内血栓形成的临床特征与处理

摘要

目的 探讨冠状动脉支架内血栓形成病例的临床特点、治疗方法及其原因.方法 分析4例PCI治疗后发生支架内血栓的患者的临床资料,分析发生支架内血栓的临床特征及血栓形成原因.结果 4例患者中,急性血栓1例,亚急性血栓1例,迟发晚期血栓2例.4例均再次行PCI术,再通血管,症状消失.其发生与多重危险因素、复杂病变、停用抗血小板药物等有关.结论 冠状动脉支架植入术后有发生支架内血栓的可能,应引起重视.再次PCI治疗是首选治疗方法.%Objective To analyze the clinical characteristics of stent thrombosis (ST) after percutaneous coronary intervention (PCI) and investigate the possible cause and risk factors of ST. Methods Analyze the clinical characteristics and cause of the 4 patients with ST after PCI. Results There were 1 patient suffered from acute ST, 1 patient suffered from sub-acute ST, and 2 patients suffered from very late ST. All the patients discharged after successful emergency PCI. The reasons related to ST including of the multiple risk facters, the complicated lesion. the imcomplete treatment of anti-thrombu. Conclusion Stent thrombosis may occur after PCI, and special attention must be paid. The optimal therapy is the emergency PCI.