冠状动脉左主干远端病变介入治疗的预后因素
被引量:1
摘要
在有经验的介入中心,左主干的经皮冠状动脉介入治疗(PCI)是相对安全的。但是由于左主干PCI相对于进行冠状动脉旁路移植术(CABG)的患者来说面临更高的再次血运重建的风险,所以其有效性遭到一定的质疑。虽然药物洗脱支架的引入带来了扭转局面的希望,但大规模试验结果令人失望。
出处
《临床荟萃》
CAS
2013年第12期1425-1427,共3页
Clinical Focus
参考文献23
-
1崔炜.2011年心血管病学重要临床进展[J].临床荟萃,2012,27(10):829-836. 被引量:10
-
2Task Force on Myocardial Revascularization of the EuropeanSociety of Cardiology (ESC) and the European Association forCardio-Thoracic Surgery (EACTS) . European Association forPercutaneous Cardiovascular Interventions ( EAPCI),et al.Guidelines on myocardial revascularization [J]. Eur Heart J,2010,31(20):2501-2555.
-
3Valgimigli M,Malagutti P, Rodriguez-Granillo GA,et al. Distalleft main coronary disease is a major predictor of outcome inpatients undergoing percutaneous intervention in the drug-eluting stent era: an integrated clinical and angiographicanalysis based on the Rapamycin-Eluting Stent Evaluated AtRotterdam Cardiology Hospital (RESEARCH) and Taxus-Stent Evaluated At Rotterdam Cardiology Hospital ( T-SEARCH) registries[J]. J Am Coll Cardiol, 2006 ,47(8) : 1530-1537.
-
4Palmerini T,Sangiorgi D, Marzocchi -A, et al. Ostial andmidshaft lesions vs. bifurcation lesions in 1111 patients withunprotected left main coronary artery stenosis treated withdrug-eluting stents: results of the survey from the ItalianSociety of Invasive Cardiology[J]. Eur Heart J,2009,30(17):2087-294.
-
5Toyofuku M,Kimura T,Morimoto 丁,et al. Three-yearoutcomes after sirolimus-eluting stent implantation forunprotected left main coronary artery disease:insights from thej-Cypher registry[J]. Circulation.2009,120(19) : 1866-1874.
-
6Katritsis DG, Siontis GC,Ioannidis JP. Double versus singlestenting for coronary bifurcation lesions: a meta-analysis[J].Circ Cardiovasc Interv,2009,2(5) :409-415.
-
7Hakeem A, Khan FM, Bhatti S, et al. Provisional vs. complexstenting strategy for coronary bifurcation lesions : meta-analysisof randomized trials[j]. J Invasive Cardiol, 2009,21(11) :589-595.
-
8Brar SS, Gray WA, Dangas G, et al. Bifurcation stenting withdrug-eluting stents: a systematic review and meta-analysis ofrandomised trials[J]. Eurolntervention,2009 ,5(4) :475-484.
-
9Zhang F, Dong L,Ge J. Simple versus complex stentingstrategy for coronary artery bifurcation lesions in the drug-eluting stent era: a meta-analysis of randomized trials [ J].Heart,2009,95(20) :1676-1819.
-
10Kim WJ, Kim YH, Park DW, et al. Comparison of single-versus two-stent techniques in treatment of unprotected leftmain coronary bifurcation disease [J]. Catheter CardiovascInterv,2011,77(6):775-782.
二级参考文献65
-
1杨新春,徐立,王乐丰,崔亮,葛永贵,王红石,佟子川,邹阳春,李惟铭.左主干闭塞所致急性心肌梗死的心电图特点[J].中国介入心脏病学杂志,2006,14(5):266-268. 被引量:6
-
2卫亚丽,于富军,孙家安,赵玉英,张莉.心电图aVR导联ST段抬高与左主干急性闭塞相关性的研究[J].中华临床医学杂志,2007,8(3):16-18. 被引量:2
-
3Meng XJ,Dong GH,Wang D,et al.Prevalence,awareness,treatment,control,and risk factors associated with hypertension in urban adults from33communities of China:the CHPSNE study[J].J Hypertens,2011,29(7):1303-1310.
-
4Aronow WS,Fleg JL,Pepine CJ,et al.ACCF/AHA2011 Expert Consensus Document on Hypertension in the Elderly A Report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents Developed in Collaboration With the American Academy of Neurology,American Geriatrics Society,American Society for Preventive Cardiology,American Society of Hypertension,American Society of Nephrology,Association of Black Cardiologists,and European Society of Hypertension[J].J Am Coll Cardiol,2011,57(20):2037-2114.
-
5Brott TG,Halperin JL,Abbara S,et al.2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS guideline on the management of patients with extracranial carotid and vertebral artery disease:executive summary.A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines,and the American Stroke Association,American Association of Neuroscience Nurses,American Association of Neurological Surgeons,American College of Radiology,American Society of Neuroradiology,Congress of Neurological Surgeons,Society of Atherosclerosis Imaging and Prevention,Society for Cardiovascular Angiography and Interventions,Society of Interventional Radiology,Society of NeuroInterventional Surgery,Society for Vascular Medicine,and Society for Vascular Surgery[J].Circulation,2011,124(4):489-532.
-
6Smith SC Jr,Benjamin EJ,Bonow RO,et al.AHA/ACCF Secondary Prevention and Risk Reduction Therapy for Patients With Coronary and Other Atherosclerotic Vascular Disease:2011Update:A Guideline From the American Heart Association and American College of Cardiology Foundation[J].Circulation,2011,124(22):2458-2473.
-
7Tendera M,Aboyans V,Bartelink ML,et al.ESC Guidelines on the diagnosis and treatment of peripheral artery diseases:Document covering atherosclerotic disease of extracranial carotid and vertebral,mesenteric,renal,upper and lower extremity arteries*The Task Force on the Diagnosis and Treatment of Peripheral Artery Diseases of the European Society of Cardiology(ESC)[J].Eur Heart J,2011,32(22):2851-2906.
-
8Lasserson DS,Buclin T,Glasziou P.How quickly should we titrate antihypertensive medication Systematic review modelling blood pressure response from trial data[J].Heart,2011,97(21):1771-1775.
-
9Wright RS,Anderson JL,Adams CD,et al.2011ACCF/AHA Focused Update of the Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction(Updating the2007Guideline):A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines[J].Circulation,2011,123(18):2022-2060.
-
10Levine GN,Bates ER,Blankenship JC,et al.2011ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention:Executive Summary A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions[J].J Am Coll Cardiol,2011,58(24):2550-2583.
共引文献11
-
1张钰聪,关绍晨,吴晓光,刘洪军,孙菲,刁丽君,汤哲,方向华.北京市老年人血压、血糖、血脂水平与4年全死因死亡分析[J].临床荟萃,2013,28(2):121-123. 被引量:8
-
2马小五,张平洋,张幼祥.以三尖瓣瓣环径结合体表面积作为三尖瓣成形手术指征有效性的初步临床观察[J].临床荟萃,2013,28(3):249-251.
-
3杨泽福,万建平,杨玲,薛世荣,汤群英.急性心肌梗死患者无复流现象与降低血浆胆固醇的临床观察[J].临床荟萃,2013,28(3):270-272. 被引量:3
-
4王丽君,阿日克,赵慧玲.中医药治疗原发性高血压的研究现状[J].国际中医中药杂志,2013,35(7):650-653.
-
5陈婧,毛晓明.内分泌性高血压诊治进展[J].临床荟萃,2014,29(2):225-230. 被引量:5
-
6束婷婷,吕志刚,解雨春.干式免疫散射定量法、干化学法检测尿微量白蛋白在早期肾损伤诊断中的应用评价[J].实用老年医学,2014,28(3):252-253. 被引量:1
-
7张彬,李中华,刘玉英,刘万瑜,赵建华.动态监测血脂指标水平变化与动态血压异常的相关性分析[J].临床合理用药杂志,2014,7(13):94-95. 被引量:1
-
8仇苓苓,陈晓敏,王春靓.急性前壁心肌梗死时体表心电图初步预测前降支闭塞部位[J].重庆医学,2015,44(1):66-67. 被引量:3
-
9胡金平,孔宝青,陈向东.心肌梗死左主干病变患者介入术前心电图表现特点[J].心电与循环,2015,34(3):191-193.
-
10赵建霞,邵华,任晓美,闫红.心血管疾病住院患者病死原因及变化趋势统计分析[J].现代仪器与医疗,2015,21(5):8-10. 被引量:9
同被引文献11
-
1MOHR F W,MORICE M C,KAPPETEIN A P,et al. Coronary ar- tery bypass graft surgery versus coronary intervention in patientswith throe-vessel disease and left main coronary disease:5-year fol- low-up of the randomized, clinical SYNTAX trial [ J ]. Lancet, 2013,381 ( 9867 ) :629-638.
-
2FAJADET J, CHIEFO A. Curent management of left main coronary artery disease[J]. Eur Heart J,2012,33 ( 1 ) :36-50b.
-
3IZUMIKAWA T, SAKAMOTO S, TAKESHITA S, et al. Outcomes of primary pereutaneous coronary intervention for acute myocardial infarction with unprotected left main coronary artery occlusion[ J]. Catheter Cardiovasc lnterv, 2012,79 ( 7 ) : 1111-1116.
-
4Task Force on Myocardial Revaseularization of the European Socie- ty of Cardiology (ESC) , European Association for Cardio-Thoracie Surgery (EACTS). 2014 ESC/EACTS guidelines on myocardial revaseularization [ J]. Eur Heart J,2014,35 ( 37 ) :2541-2619.
-
5KIM W J, KIM Y H, PARK D W, et al. Comparison of single-ver- sus two-stent techniques in treatment of unprotected left main coro- nary bifurcation disease [ J 1- Catheter Cardiovasc Interv, 2011,77 (6) :775-782.
-
6PALMERINI T, MARZOCCHI A, TAMBURINO C,et al. Impact of bifurcation technique on 2-year clinical outcomes in 773 patients with distal unprotected left main coronary artery stenosis treated with drug-eluting stentts [ J ]. Circ Cardiovasc Interv, 2008,1 ( 3 ) : 185-192.
-
7PARMA A, FIOIRLLI R, DE FELICE F, et al. Early and mid- term clinical outcome of emergency PCI inpatients with STEMI due to unprotected left main coronary artery disease [ J ]. J lnterv Cardiol,2012,25 (3) :215-222.
-
8BUSZMAN P E, BUSZMAN P P, BANASIEWICZ-SZKR6BKA I, et al. Left main stenting in comparison with surgical revasculariza- tion:10-year outcomes of the (left main coronary artery stenting) LE MANS trial [ J ]. JACC Cardiovasc lnterv, 2016,9 ( 4 ) : 318- 327.
-
9中国经皮冠状动脉介入治疗指南2012(简本)[J].中华心血管病杂志,2012,40(4):271-277. 被引量:425
-
10姚海木,孙同文,张晓娟,万有栋,付新,沈德良,张金盈,李凌.急性冠脉综合征患者植入国产药物支架的长期疗效和安全性分析[J].中华急诊医学杂志,2015,24(1):62-67. 被引量:7
-
1危小军,谢东阳,孙肇琴,廖伟,钟一鸣,周爱琴.易化PCI治疗ST段抬高型急性心肌梗死临床疗效及安全性的应用研究[J].赣南医学院学报,2010,30(4):543-545. 被引量:7
-
2钟炜.冠心病患者中B型钠尿肽与冠状动脉病变程度的相关性研究[J].中国当代医药,2015,22(7):44-45. 被引量:1
-
3张玉娥,李京华,邢秀亚.CT引导下肺癌射频消融治疗术中并发症的护理[J].北京医学,2015,37(9):905-906. 被引量:2
-
4农京国,田进文,彭亮,黄亚,刘谟焓,孙婷,申文彬,汤喆,刘丽凤,赵宇,刘庆艳,白静,王禹.冠状动脉内逆向精确溶栓术在急性ST段抬高型心肌梗死患者行直接经皮冠状动脉介入治疗中应用的研究[J].中国循环杂志,2016,31(12):1160-1164. 被引量:25
-
5黄伟胜,罗森华,李文婷,杨建芬.影响基层医院急性心肌梗死患者静脉溶栓效果的多因素Logistic回归分析[J].广州医学院学报,2014,42(3):90-92. 被引量:7
-
6涂超梅,何淑芬,乔树宾,吴永健,杨跃进,陈纪林.孤立性心肌桥687例临床分析[J].山东医药,2008,48(27):128-129. 被引量:3
-
7胡继强,马坚.心房颤动射频导管消融的并发症及其预防[J].心电学杂志,2008,27(1):40-44. 被引量:18
-
8王宁夫.嗜吃海鲜吃出了动脉粥样硬化[J].老年健康,2015(6):28-30.
-
9吴淳,张玉霄,王伟民,赵红,卢明瑜,刘健.老年急性冠状动脉综合征的急诊介入治疗[J].中华老年心脑血管病杂志,2003,5(4):233-236. 被引量:3
-
10闻捷,刘鸣,向黎明,夏碧涛,马丽燕,崔虓,王曼萍.平板运动试验对确定冠脉临界病变治疗方案的指导意义[J].心血管康复医学杂志,2008,17(3):293-295. 被引量:5