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慢性完全闭塞性病变介入治疗影响因素分析
引用本文:程冠昌,万琪琳,洪岩,何瑞莉,王治中,刘玉茹.慢性完全闭塞性病变介入治疗影响因素分析[J].郑州大学学报(医学版),2003,38(3):418-419.
作者姓名:程冠昌  万琪琳  洪岩  何瑞莉  王治中  刘玉茹
作者单位:河南大学淮河医院心内科,开封,475000
摘    要:目的:探讨经皮冠状动脉介入(PCI)治疗慢性完全闭塞性病变(CT0)介入治疗成功率的影响因素。方法:对本院2000年5月—2002年9月24例26处CT0的PCI资料进行回顾性分析。结果:24例26处CT0,总成功率达80.8%,支架置人19处(73.1%)。血管闭塞时间≤3个月、闭塞长度≤20mm、闭塞末端呈尖形者PCI成功率较高,有桥状侧支、闭塞近端血管重度弯曲者手术均失败。结论:影响成功率的因素有血管闭塞时间、闭塞长度、闭塞末端形态、桥状侧支、闭塞近端血管弯曲等。

关 键 词:慢性完全闭塞性病变  介入治疗  影响因素  分析
修稿时间:2002年10月17

Outcome of percutaneous coronary intervention in chronic total occlusion lesion
CHENG Guanchang,WAN Qilin,HONG Yan,HE Ruili,WANG Zhizhong,LIU Yuru Huaihe Hospital of Henan University,Kaifeng.Outcome of percutaneous coronary intervention in chronic total occlusion lesion[J].Journal of Zhengzhou University: Med Sci,2003,38(3):418-419.
Authors:CHENG Guanchang  WAN Qilin  HONG Yan  HE Ruili  WANG Zhizhong  LIU Yuru Huaihe Hospital of Henan University  Kaifeng
Institution:CHENG Guanchang,WAN Qilin,HONG Yan,HE Ruili,WANG Zhizhong,LIU Yuru Huaihe Hospital of Henan University,Kaifeng 475000
Abstract:Aim:To evaluate the efficacy and safety of percataneous coronary intervention (PCI) for chronic total occlusions. Methods:From May 2000 to Sep 2002, 298 patients were treated by PCI in our hospital (emergency PTCA was not included in this study),and 24 of them had chronic total occlusions(CTO). Results:A total of 24 patients with 26 CTO were analyzed in this study. The success rates for CTO were 80.8%. The factors which influenced the success rate were time of occlusion,the extent of vessel tortuousness before the occlusion and existence of bridge collateral vessel. Conclusion:PCI therapy for CTO, with very high success rate, is an important and safe revascularization method.
Keywords:chronic total occlusion  lesion  percutaneous coronary intervention  influencing factor
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