| 冠状动脉三支病变患者不同血运重建策略的预后比较 |
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| 引用本文： | 李三军,王立军,江时森,刘广彬.冠状动脉三支病变患者不同血运重建策略的预后比较[J].现代预防医学,2011,38(9):1724-1727. |
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| 作者姓名： | 李三军 王立军 江时森 刘广彬 |
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| 作者单位： | 南京大学医学院临床学院南京军区南京总医院心内科,南京,210002 |
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| 基金项目： | 南京军区"十一五"重点课题 |
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| 摘 要： | 目的]比较冠状动脉三支病变患者经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)和冠状动脉旁路移植术(coronary artery bypass grafting,CABG)的预后。方法]回顾性分析了首次行血运重建治疗的冠状动脉三支病变患者233例,其中PCI组160例,CABG组73例,比较两组患者2年的不良心脑血管事件(包括全因死亡;全因死亡和非致死性卒中/心肌梗死联合终点;再次血运重建术)。结果]CABG组的2年再次血运重建率低于PCI组,但由于术后院内死亡率较高导致CABG组2年全因死亡发生率高于PCI组(P﹤0.05),2年主要不良心脑血管事件发生率(major adverse cardiac and cerebrovascular events,MACCE)、2年全因死亡和非致死性卒中/心肌梗死联合终点发生率两组间差异无统计学意义(P﹥0.05)。结论]冠状动脉三支病变患者2年联合终点事件发生率两组间并无差异,但PCI组的2年再次血运重建率仍高于CABG组。
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| 关 键 词： | 经腔 经皮冠状动脉 冠状动脉疾病 药物洗脱支架 冠状动脉旁路移植术 |
COMPARISON OF PERCUTANEOUS CORONARY INTERVENTION WITH CORONARY ARTERY BYPASS GRAFTING FOR TRIPLE-VESSEL DISEASE |
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| LI San-jun,WANG Li-jun,JIANG Shi-sen,et al..COMPARISON OF PERCUTANEOUS CORONARY INTERVENTION WITH CORONARY ARTERY BYPASS GRAFTING FOR TRIPLE-VESSEL DISEASE[J].Modern Preventive Medicine,2011,38(9):1724-1727. |
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| Authors: | LI San-jun WANG Li-jun JIANG Shi-sen |
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| Institution: | LI San-jun,WANG Li-jun,JIANG Shi-sen,et al.(Department of Cardiology,School of Medicine,Nanjing University,Nanjing General Hospital of Nanjing Military Command,PLA,Nanjing 210002,China) |
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| Abstract: | Objective]To investigate the clinical outcomes of percutaneous coronary intervention(PCI) and coronary artery bypass grafting(CABG) in patients with triple-vessel disease.Methods]Patients with triple-vessel disease who underwent PIC(n=160) or CABG(n=73) firstly were included.We compared adverse outcomes(death;a composite components of death,stroke,and myocardial infarction;and repeat revascularization) during the 2-year period after revascularization.Results]Compared with the PCI group,the CABG group had... |
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| Keywords: | Transluminal Percutaneous coronary Coronary disease Drug-eluting stents Coronary artery bypass |
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