冠心病患者1次介入治疗全部完成3支血管血运重建的安全性和有效性  

Safety and efficacy of one percutaneous coronary intervention for three coronary arteries in patients with three-vessel coronary disease

作　　者：赵慧强[1] 陈晖[1] 李东宝[1] 姚道阔[1] 王雷[1] 李虹伟[1] 

机构地区：[1]首都医科大学附属北京友谊医院心血管病中心心内科,北京100050

出　　处：《心脏杂志》2015年第3期283-286,共4页Chinese Heart Journal

摘　　要：目的：观察对冠状动脉3支血管病变患者1次全部完成3支血管血运重建的安全性和有效性。方法：2010年1月～2012年9月连续对在我科住院的52例3支血管病变患者1次介入治疗全部完成3支血管的血运重建。对该组患者的临床资料、影像资料、介入治疗情况进行总结分析；对所有患者进行院内随访和平均32个月的临床随访，观察主要心血管不良事件的发生情况。结果：52例患者均1次经皮冠状动脉介入（PCI）术全部完成3支血管的血运重建，成功率100％。共处理靶血管156支，靶病变195个，每例3—6（3．6±0．9）个病变。Syntax积分为15—32（21±4）分，其中，≤22分38例，占73％（38／52）；23—32分14例，占27％（14／52）。随访20～52（32±9）个月，主要终点事件的发生率为2％（1／52）；次级终点事件的发生率为6％（3／52）。结论：经有选择的冠心病3支血管病变患者1次完成3支血管的PCI，是可行的，有较好的安全性和有效性。AIM： To evaluate the safety and effect of one percutaneous coronary intervention （PCI） for three coronary arteries in patients with three-vessel coronary disease. METHODS： According to the inclusion criteria, 52 consecutive patients with three-vessel coronary disease between January 2010 and September 2012 were enrolled in this study. Three coronary arteries were completely treated by one PCI in all patients. Follow-up was conducted in all patients and major adverse cardiac events （MACE： cardiogenic death, myocardial infarction, and repeated revascularization） were calculated. RESULTS： One-time PCI was conducted in 52 patients with 195 target lesions and 156 target vessels treated by PCI, and the success rate was 100%. Mean Syntax Score of the 52 patients was 21. At 32 _＋ 9 months, the rate of MACE was 2% （1/52） and the secondary point events rate was 6% （3/52）. CONCLUSION： One PCI for three coronary arteries is fairly safe and effective in patients with three-vessel coronary disease.

关 键 词：经皮冠状动脉腔内介入治疗 三支血管病变 SYNTAX积分 

分 类 号：R541.4[医药卫生—心血管疾病]