多支血管病变患者部分血运重建的疗效观察

Effects of Incomplete Revascularization in Patients with Multivessels Coronary Artery Disease

目的:观察部分血运重建(IR)治疗对多支血管病变(MVD)患者的疗效。方法:入选79例MVD患者,仅对最可能的缺血相关血管实施经皮冠状动脉血运重建(PCI)治疗。观察所有患者的手术成功率、住院期间及6个月时死亡率、6个月时不良事件发生率。结果:所有患者手术成功率98.7%,无严重并发症,住院死亡率1.3%;6个月时死亡率2.5%,MI发生率2.5%,再次PCI率3.8%。结论:对MVD患者采取经皮IR治疗策略可以获得较好的临床效果。

Objective： To observe the clinical effects of partial revascularization on patients with multivessel coronary artery diseases;Methods：Percutaneous coronary interventions（PCI） of the most likely isehemia related vessels were performed in 79 patients with multivessel coronary artery diseases（CAD）. Results：The success rate of PCI was 98.7% in all patients without serious complications,the in hospital mortality rate was 1.3%. The rate of mortality and MI and repeat revascularization in 6 months are 2.5%,3.8%,and 3.8%,respectively. Conclusions：Partial revascularization for the patients with multivessel coronary artery diseases can achieve satisfactory clinical results.