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冠心病和肿瘤并存的情况越来越常见。肿瘤本身及其治疗影响冠状动脉介入术(PCI)的安全性,PCI术后的二联抗血小板治疗也影响肿瘤的手术治疗。因此,肿瘤患者应尽量避免PCI。肿瘤手术前是否进行预防性PCI取决于术前心脏风险评估的结果。PCI只适用于冠状动脉病变严重或不稳定的肿瘤患者,治疗方式应优选单纯球囊扩张或植入金属裸支架。

Percutaneous Coronary Intervention in Patients with Tumor

Coronary artery disease and tumor are more and more frequently coexist.Tumor per se as well as its treatment may influence the safety of percutaneous coronary intervention(PCI),while dual antiplatelet therapy associated with PCI may delay the surgery for tumor.So PCI should be avoided as much as possible in tumor patients.Prophylactic PCI should not be performed unless after meticulous preoperative cardiac risk assessment.PCI is only indicated in tumor patients with unstable or severe coronary artery diseas...