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科学研究

Abstract

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Outcomes of off- and on-hours admission in ST-segment elevation myocardial infarction patients undergoing primary percutaneous coronary intervention: A retrospective observational cohort study Rotational atherectomy in the subadventitial space to allow safe and successful chronic total occlusion recanalization: Pushing the limit further Characterization of the Average Daily Ischemic and Bleeding Risk After Primary PCI for STEMI The SABRE Trial (Sirolimus Angioplasty Balloon for Coronary In-Stent Restenosis): Angiographic Results and 1-Year Clinical Outcomes Stent fracture is associated with a higher mortality in patients with type-2 diabetes treated by implantation of a second-generation drug-eluting stent Obesity, Diabetes, and Acute Coronary Syndrome: Differences Between Asians and Whites Randomized Comparison of Everolimus- and Zotarolimus-Eluting Coronary Stents With Biolimus-Eluting Stents in All-Comer Patients Complete Versus Culprit-Only Revascularization in STEMI: a Contemporary Review
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无复流现象

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Pre-reading

2001年，Eeckhout和Kern将无复流现象（No-Flow Phenomenon）定义为冠状动脉循环中某一特定血管节段虽心肌灌注不足，但无机械性血管阻塞（mechanical vessel obstruction）冠状动脉造影证据。经皮冠状动脉介入治疗支架置入后在明确没有可见残余狭窄后，术者将首要关注冠状动脉血流，若发生无复流现象，或将进一步影响预后及左心室重构，增加不良心脏事件的风险。因此熟知可预防无复流现象的策略、药物（冠状动脉内注射腺苷intracoronary adenosine, 硝普钠nitropusside）和非药物（低体温法induced hypothermia）等干预法对提高介入质量、改善患者预后的重要性不言而喻。



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