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目的 :探讨并发左前降支近段病变的多支血管病变患者冠状动脉介入术 (PCI)的安全性及远期效果。方法 :回顾性分析 6 2例行PCI的多支血管病变患者手术成功率、并发症发生率、住院期间及远期随访期主要心血管事件发生率、再次血运重建术发生率。比较并发左前降支近段病变患者 (A组 )与未并发者 (B组 )PCI的安全性及远期效果。结果 :A组患者PCI成功率及围手术期并发症发生率与B组相比无明显差异 ,远期随访主要心血管事件发生率及再次血运重建术发生率亦无明显差异。结论 :PCI是并发左前降支近段病变的多支血管病变患者安全、有效的血运重建方法
Objective: To investigate the safety and long-term effect of coronary artery surgery (PCI) in patients with multivessel disease complicated with proximal lesion of left anterior descending artery. Methods: The surgical success rate, complication rate, major cardiovascular events during hospitalization and long-term follow-up, and the incidence of revascularization were retrospectively analyzed in 62 patients with multivessel hyperplasia. To compare the safety and long-term efficacy of PCI in patients with proximal lesion (A group) and non-concurrent patients (B group). Results: There was no significant difference in PCI success rate and perioperative complication rate between group A and group B. There was no significant difference in the incidence of major cardiovascular events and revascularization in long-term follow-up. Conclusions: PCI is a safe and effective revascularization method for patients with multivessel disease that has proximal lesion in the left anterior descending artery