慢性肾衰竭患者经皮冠状动脉介入治疗后血管并发症的临床研究

探讨慢性肾衰竭(CRF)合并冠心病患者经皮冠状动脉介入治疗(PCI)后穿刺部位血管并发症的影响因素.方法 在2 977例接受PCI治疗的冠心病患者中,其中CRF患者53例,肾功能正常患者2924例,比较2组穿刺部位血管并发症的发生率.在CRF患者中,按有、无穿刺部位血管并发症分为2组,比较2组性别、年龄、体质量指数、穿...

Vascular complications after percutaneous coronary intervention in chronic renal failure patients

Objective To investigate the characteristics of vascular complications after percuta- neous coronary intervention （PCI） in chronic renal failure （CRF） patients with coronary artery dis- ease. Methods A retrospective study was performed on 2 977 patients who received PCI. Among them, 53 patients with and 2 924 patients without CRF were compared for the prevalence of vascular complication. All patients with CRF were divided into two groups regarding the prevalence of vascular complication. Multi-variables were investigated to explore risk factors for vascular complications. Resuits Incidence of vascular complication after PCI was significantly higher in CRF patients than in those without CRF （20. 75% vs. 1.53% ,P〈0. 01）. The prevalence of vascular complication was related to cardiac function and kidney function in CRF patients. Conclusions CRF patients are more likely to develop vascular complication after PCI, especially in those with chronic heart failure and endstage renal failure.