关键词: 经皮冠状动脉介入治疗；支架内血栓形成；基质金属蛋白酶

Abstract:

Abstract:Objective To investigate the effects of Kudiezi injection on stent thrombosis and the levels of matrix metalloproteinase (MMPs) and thromboxane B2 (TXB2)in elderly patients with percutaneous coronary intervention (PCI), and  investigate the mechanism of Kudiezi on the decrease of stent thrombosis.Methods  Forty elderly patients were divided into two groups(Kudiezi group and control group) after PCI.Kudiezi were administered into patients in Kudiezi group and the patients in control group were treated with  regular medication.The angioraphic and clinic follow-up outcomes of 40 elderly patients with PCI there retrospectively analyze . Stent thrombosis (ST)was confirmed by angiography.The levels MMPs and TXB2 in Kudiezi group (n=20) and control group(n=20) were determined before stent implantation and after 6 months. Major cardiac events （restenosis,cardiac death,myocardiac infarction,revasculation）were observed during follow-up. Results The levels of MMPs and TXB2 in Kudiezi and control group decreased significantly after PCI.The levels of MMPs and TXB2 in Kudiezi group were less than that in control group after PCI.The levels  of MMPs and TXB2 in all patients group were signifantly different between pre-procedure and post-procedure (P<0.05). Within 6 months of stent implantation,the occurrence of ST was less in Kudiezi group than that in control group (P<0.05).Conclusion Kudiezi injection can deminish  the onset of stent thrombosis  and decrease the levels of  MMPs and TXB2.

Key words: percutaneous coronary intervention;stent thrombosis;matrix metalloproteinase