摘要
目的 :探讨并发左前降支近段病变的多支血管病变患者冠状动脉介入术 (PCI)的安全性及远期效果。方法 :回顾性分析 6 2例行PCI的多支血管病变患者手术成功率、并发症发生率、住院期间及远期随访期主要心血管事件发生率、再次血运重建术发生率。比较并发左前降支近段病变患者 (A组 )与未并发者 (B组 )PCI的安全性及远期效果。结果 :A组患者PCI成功率及围手术期并发症发生率与B组相比无明显差异 ,远期随访主要心血管事件发生率及再次血运重建术发生率亦无明显差异。结论 :PCI是并发左前降支近段病变的多支血管病变患者安全。
Objective:To assess coronary stent placement in patients with multivessel coronary disease and involvment of the proximal segment of the anterior descending coronary artery. Method:We retrospectively analyzed the in-hosptial and late evolution of 62 patients with multivessel coronary disease who underwent PCI. These patients were divided into two groups as follow: group Ⅰ without involvement of the proximal segment of the LAD; and group Ⅱ with involvement of the proximal segment of the LAD. The success rate of the procedure, the occurrence of major vascular complication, the occurrence of major adverse cardiac events and the need for new revascularization were compared between these groups. Result: No significant difference was observed in the success rate of the procedure, nor in the occurrence of major vascular complications, nor in the occurrence of major adverse cardiac events. In the late follow-up, the incidence of major adverse cardiac events and the need for new revascularization were similar. Conclusion: PCI is a safety and effective procedure for treating these type of patients.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
2004年第11期646-648,共3页
Journal of Clinical Cardiology
关键词
冠状动脉疾病
多支血管病变
支架
Coronary disease
Multivessel coronary disease
Stents
