Qhov Tseem Ceeb Qhov txawv - PTCA vs PCI
Percutaneous Transluminal Coronary Angioplasty (PTCA) thiab Percutaneous Coronary Intervention (PCI) ob qho tib si tseem ceeb txhais tau hais tias cov txheej txheem ntawm dilating a coronary artery stenosis siv lub zais pa thiab cov hlau nplaum tau qhia rau hauv cov hlab ntsha ntawm femoral, radial los yog brachial hlab ntsha. Niaj hnub no, nws yog qhov kev siv ntau tshaj plaws hauv kev kho mob plawv ischemic. Nws yuav tsum tau hais tias tsis muaj qhov sib txawv ntawm PTCA thiab PCI. Lawv nyob rau hauv qhov tseeb synonyms. Txawm li cas los xij, ntawm no, peb yuav tham txog PTCA lossis PCI cov txheej txheem thiab cov teeb meem hauv kev nthuav dav.
PTCA yog dab tsi?
Percutaneous Transluminal Coronary Angioplasty lossis PTCA yog cov txheej txheem siv los kho cov kab mob plawv ischemic uas yog vim muaj kev cuam tshuam hauv cov hlab ntsha. Nws tuaj yeem txhais tau tias yog tus txheej txheem ntawm dilating a coronary artery stenosis siv lub zais pa thiab cov hlau nplaum uas nkag mus rau hauv cov hlab ntsha ntawm femoral, radial lossis brachial artery. Muaj qhov kev pom zoo dua nyob rau hauv qhov pom ntawm qhov txhab mos uas tsis cuam tshuam nrog cov hlab ntsha bifurcations.
PTCA tsis pom zoo thaum qhov chaw ntawm kev cuam tshuam yog nyob rau hauv lub calcified, ntev thiab tortuous hlab ntsha uas yog bifurcating ntawm qhov chaw nyob ib sab.
Kev nyuaj ntawm PTCA
- Hmob sab hauv
- Hematoma
- Kev txiav tawm thiab pseudoaneurysms los ntawm qhov chaw ntawm cov hlab ntsha. Kev pheej hmoo ntawm qhov no tuaj yeem txo qis los ntawm kev siv cov hlab ntsha radial kom nkag mus rau hauv cov hlab ntsha.
- mob hnyav tab sis tsis tshua muaj teeb meem yog mob myocardial infarction, mob stroke, thiab tuag.
Qhov kev pheej hmoo ntawm cov teeb meem thrombotic yog txo los ntawm kev tswj hwm ua ntej ntawm ib lossis ob peb ntawm cov tshuaj hauv qab no.
- Heparin
- Bivalirudin
- tshuaj tiv thaiv kab mob
- GP IIb/IIIa antagonists yog siv rau cov neeg mob uas muaj kev pheej hmoo siab mob plawv lossis ntshav qab zib.
Aspirin Aspirin
Daim duab 01: Lub Coronary Angiogram uas qhia txog cov hlab ntsha tawg.
Kev qhia tsis ntev los no ntawm cov stents coated nrog cov tshuaj muaj peev xwm tiv thaiv kom tsis txhob muaj cov hlab ntsha puas tsuaj tau txo qis qhov tsim nyog ntawm kev rov ua dua tshiab. Cov stents no yog lub npe hu ua cov tshuaj eluting stents. Muaj ntau hom stents raws li cov tshuaj uas lawv tau coated nrog. Kev txhawj xeeb tau raug tsa los ntawm qhov muaj peev xwm ua rau lub sijhawm stent thrombosis. Qhov tsis muaj endothelialization ntawm stent ntseeg tau tias yog lub hauv paus rau qhov kev pheej hmoo ntau ntxiv. Yog li ntawd, txhua tus neeg mob uas tau txais PTCA raug qhia kom tsis txhob txiav tawm ob txoj kev kho mob nrog tshuaj aspirin thiab clopidogrel li ntawm 6-12 lub hlis tom qab cog.
PCI yog dab tsi?
Percutaneous Coronary Intervention yog lwm lub npe muab rau PTCA. Yog li tsis muaj qhov sib txawv ntawm ob nqe lus no.
Qhov txawv ntawm PTCA thiab PCI yog dab tsi?
Tsis muaj qhov sib txawv ntawm PTCA thiab PCI txij li Percutaneous Transluminal Coronary Angioplasty, lossis PTCA kuj raug xa mus los ntawm lub npe Percutaneous Coronary Intervention lossis PCI
Summary – PTCA vs PCI
PTCA lossis Percutaneous Transluminal Coronary Angioplasty yog txheej txheem ntawm dilating a coronary artery stenosis siv lub zais pa thiab cov hlau nplaum uas nkag mus rau hauv cov hlab ntsha ntawm femoral, radial lossis brachial artery. Percutaneous Coronary Intervention yog lwm lub npe muab rau cov txheej txheem no. Yog li, tsis muaj qhov sib txawv ntawm PTCA thiab PCI.
Download PDF Version ntawm PTCA vs PCI
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline lub hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm PTCA thiab PCI
