| 介入性完全性血运重建对冠状动脉多支病变患者长期预后的影响 |
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| 引用本文： | 罗亚玮,陈方,张维东,高阅春,张晓玲,李峥,何继强,李宇,韩智红,赵华,汪烨. 介入性完全性血运重建对冠状动脉多支病变患者长期预后的影响[J]. 临床放射学杂志, 2008, 27(10) |
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| 作者姓名： | 罗亚玮 陈方 张维东 高阅春 张晓玲 李峥 何继强 李宇 韩智红 赵华 汪烨 |
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| 作者单位： | 首都医科大学附属北京安贞医院心内科,100029 |
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| 摘 要： | 目的 比较单支和多支冠状动脉病变患者经皮冠状动脉介入术(PCI)后的远期预后以及实施完全性或不完全性血运重建对后者长期临床疗效的影响. 资料与方法 959例冠心病患者行选择性冠状动脉内支架置入术,其中单支病变组(single-vessel disease,SVD)362例,多支病变完全性血运重建组(complete revascularization,CR)291 例,多支病变不完全性血运重建组(incomplete revascularization,IR)306例,对比分析3组患者PCI手术后2.5年随访结果. 结果 与CR组比较,IR组患者中冠状动脉病变严重程度、3支病变比例、左主干病变、分叉病变数量均高 (P＜0.05) ,病变数目少而平均置入支架数多(P＜0.05).SVD组冠状动脉病变平均狭窄程度重而植入支架长度和直径均小于另两组(P＜0.05).IR组再发心绞痛(P＜0.05)、再次血运重建比例(P＜0.01)和MACE事件发生率(P＜0.05)均显著高于另两组. 结论 通过行PCI术实现完全性血运重建的多支冠状动脉病变患者长期预后效果与单支病变者类似,优于不完全性血运重建者.
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| 关 键 词： | 冠状动脉疾病 血运重建 血管成形术 |
The Effect of Long-term Outcomes between Complete and Incomplete Interventional Revascularization in Patients with Mutivessel Coronary Disease |
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| LUO Yawei,CHEN Fang,ZHANG Weidong,et al.. The Effect of Long-term Outcomes between Complete and Incomplete Interventional Revascularization in Patients with Mutivessel Coronary Disease[J]. Journal of Clinical Radiology, 2008, 27(10) |
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| Authors: | LUO Yawei CHEN Fang ZHANG Weidong et al. |
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| Affiliation: | LUO Yawei,CHEN Fang,ZHANG Weidong,et al.Department of Cardiology,Beijing Anzhen Hospital,Beijing 100029,P.R.China |
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| Abstract: | Objective To compare the long term outcome between single vessel coronary disease(SVD) patients and multivessel coronary disease(MVD)patients by percutaneous coronaral intervention(PCI) and investigate the effective factors for the effectiveness of complete and incomplete revascularization in patients with MVD.Materials and Meth-ods Total 959 consecutive patients with coronary heart disease who underwent PCI included 362 SVD patients with complete revascularization(CR),291 MVD patients with CR,and 306 MVD p... |
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| Keywords: | Coronary disease Revascularization Angioplasty |
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