药物洗脱支架治疗无保护左主干病变的疗效观察.pdfVIP

408 Medical Science Journal of Central South China,July2013,Vol.41,No.4 文章编号:2095-1116(2013)04-0408-04 ·临床医学· 药物洗脱支架治疗无保护左主干病变的疗效观察 占摇 凡 (南华大学附属第一医院心血管内科,湖南衡阳421001) 摘摇 要:摇 目的摇 评价药物洗脱支架置入术与冠脉旁路移植术对冠脉无保护左主干病变患者的近远期临床疗 效。摇 方法摇 收集本院2008年2 月~2010年2 月120 例冠心病患者,其中80 例置入药物洗脱支架(DES组),40 例进行冠脉旁路移植术(CABG 组),观察两组临床疗效。摇 结果摇 两组患者临床特征比较差异无显著性(P 0郾05),两组脑血管事件、再次血管重建、急性肾衰、急性心梗、心绞痛复发率、死亡率等方面比较差异均无显著性(P 0郾05)。摇 结论摇 药物洗脱支架治疗无保护左主干病变有较好临床疗效,临床随访结果理想。 关键词:摇 药物洗脱支架;摇 冠状动脉粥样硬化性心脏病;摇 经皮冠状动脉介入术 中图分类号:R541.4摇 摇 摇 文献标识码:A Study of Drug鄄Eluting Stents in Treatment of Unprotected Left Main Coronary Artery Disease ZHAN Fan (Department of Cardiovascular Medicine,the FirstAffiliated Hospital,University of South China, Hengyang,Hunan421001,China) Abstract:摇 Objective摇 To evaluate theclinicaloutcomesofunprotectedleftmaincoronaryarterydiseasetreatedwith coronary artery bypass graft surgery or percutaneous coronary intervention with drug- eluting stents. 摇 Methods摇 We e鄄 valuated80 patients with unprotected left main coronary artery disease who underwent stent implantation and 40 patients who underwent CABG in inourhospitalfromFebruary2008to February2010 andobservedtheclinical efficacy.摇 Results The clinical characteristicswere comparablebetweenthetwo groups.Therewereno significant differencesof deathrate,ce鄄 rebrovascular events,revascularization,acute renal failure,acute myocardial infarction.摇 Conclusion摇 ULMCA treated by DES has acceptable clinical efficacy.The clinical outcome of PCI with DES is effective. Key words:摇 drug鄄eluting stents;摇 coronary atherosclerotic disease;摇 percutaneous coronary interventi