摘要
目的比较4种不同术式治疗冠状动脉(冠脉)前降支-对角支真性分叉病变的效果。方法回顾性分析99例冠脉前降支-对角支真性分叉病变行双支架植入术患者的临床资料,其中DK Crush术29例(A组),DK mini Crush术23例(B组),DK Culotte术26例(C组),TAP术21例(D组)。比较4组即刻手术成功率。随访6～12个月,比较4组血管再狭窄率、主要不良心血管事件(MACE)发生情况。结果 4组即刻手术成功率比较,差异无统计学意义(P> 0. 05)。随访6～12个月,4组MACE发生情况及冠脉主支再狭窄发生率无显著差异(P> 0. 05)。结论 4种不同术式治疗冠脉前降支-对角支真性分叉病变均安全、有效。
Objective To compare the efficiency of four kinds of operation in treatment of patients with coronary arterial anterior descending branch and diagonal branch bifurcation. Methods Clinical materials of 99 patients with coronary arterial anterior descending branch and diagonal branch bifurcation by double stent implantation were analyzed retrospectively, in which 29 patients were treated with DK Crush （group A）, 23 cases with DK miniCrush （group B）, 26 cases with DK Culotte （group C）, and 21 cases with TAP （group D）. The immediate success rate of operation was compared between the 4 groups. After follow up of 6 to 12 months, the vascular restenosis rate and occurrence of major adverse cardiovascular events （MACE） were compared between 4 groups. Results There was no significant difference in the immediate success rate of operation between the 4 groups （ P 〉0.05）. After follow up of 6 to 12 months, there were no significant differences in the occurrence of MACE and the incidence rate of coronary artery restenosis between the 4 groups （ P 〉0.05）. Conclusion Four kind of operation are effective and safe in treatment of patients with coronary arterial anterior descending branch and diagonal branch bifurcation.
作者
崔婷
孙万峰
王大杰
顾行军
王峰
朱明星
CUI Ting;SUN Wanfeng;WANG Dajie;GU Xingjun;WANG Feng;ZHU Mingxing(Department of Cardiovascular Medicine,Yancheng Third People′s Hospital,Yancheng,Jiangsu,224001)
出处
《实用临床医药杂志》
CAS
2018年第21期30-32,共3页
Journal of Clinical Medicine in Practice
关键词
经皮冠状动脉介入治疗
前降支-对角支真性分叉病变
球囊支架对吻技术
冠状动脉
狭窄
percutaneous coronary intervention
coronary arterial anterior descending branch and diagonal branch bifurcation
balloon stenting technique
coronary artery
stenosis
