期刊文献+

85岁以上经皮冠状动脉介入治疗患者安全性及死亡风险评估 被引量:2

Safety of percutenous coronary intervetion and risk of death in ≥85 years old patients
下载PDF
导出
摘要 目的评估年龄≥85岁PCI患者手术安全性及死亡风险。方法选择2013年1月~2017年5月在海军总医院心内科住院行PCI且年龄≥85岁的冠心病患者90例,记录手术入路,术前与术后估算肾小球滤过率及出血事件,冠心病危险评分体系美国国家心血管注册研究(National Cardiovascular Date Registry,NCDR)风险评分评估30d及随访期死亡风险,平均随访(693±510)d。结果 90例患者中,以桡动脉入路成功行PCI术84例(93.3%),造影剂用量(128.3±55.8)ml。术前与术后肾小球滤过率比较,差异无统计学意义[(55.53±19.58)ml/(min·1.73m^2)vs(55.40±18.84)ml/(min·1.73m^2),t=0.095,P=0.925]。4例(4.4%)患者发生出血事件,无累及生命的大出血。NCDR风险评分>45分患者PCI 30d死亡风险增加(P=0.013)。结论年龄≥85岁患者进行PCI安全可行,NCDR风险评分能够预测患者30d死亡风险。 objective To assess the safety of PCI and risk of death in≥85 years old patients.Methods Ninety ≥85 years old coronary heart disease patients after PCI were included in this study.The risk of death on day 30 after PCI and during the follow-up period was assessed according to their surgical access,preoperative and postoperative estimated glomerular filtration rate(eGFR)and bleeding events,NCDR risk score of CHD.The patients were followed up for 693±510 days.Results Eighty-four patients(93.3%)underwent PCI via the radial artery.The dose of contrast media was 128.3±55.8 ml.No significant difference was found in preoperative and postoperative eGFR(55.53±19.58 ml/min·1.73 m^2 vs 55.40±18.84 ml/min·1.73 m^2,t=0.095,P=0.925).Bleeding occurred in 4 patients(4.4%)with no life-threatening massive bleeding occurred.The risk of death increased in patients with their NCDR risk score 45 on day 30 after PCI(P=0.013).Conclusion PCI is a safe and feasible procedure and NCDR risk score can predict the risk of death in ≥85 years old patients on day 30 after PCI.
作者 王志超 徐争鸣 姚晶 陈宇 裘毅钢 曹毅 李田昌 Wang Zhichao, Xu Zhengming, Yao Jing, Chen Yu, Qiu Yigang, Cao Yi, Li Tianchang(Department of Cardiology, Chinese PLA Navy General Hospital, Beijing 100048, Chin)
出处 《中华老年心脑血管病杂志》 CAS 北大核心 2018年第3期257-259,共3页 Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
关键词 肾小球滤过率 冠心病 桡动脉 造影剂 出血 预测 glomerular filtration rate coronary disease radial artery contrast media hemorrhageforecasting
  • 引文网络
  • 相关文献

参考文献2

二级参考文献24

  • 1高血压联盟(中国),国家心血管病中心,中华医学会心血管病学分会,中国医师协会高血压专业委员会,王文.2014年中国高血压患者教育指南(简明版)[J].中国循环杂志,2014,29(S02):131-140. 被引量:35
  • 2宋现涛,吕树铮,陈韵岱,苑飞,林运,田锐,陈欣,金泽宁,周渊,葛长江,孟康,柳弘.经皮冠状动脉介入治疗后患者住院期间合并上消化道出血分析[J].中华心血管病杂志,2007,35(4):308-311. 被引量:36
  • 3Miranda E, Pena MA, Castellanos J, et al. Predictors of mortality and adverse outcome in elderly high-rlsk patients undergoing percutaneous coronary intervention. Arch Cardiol Mex ,2007,77 : 194-199.
  • 4Rizo-Patron C, Hamad N, Paulus R, et al. Percutaneous transluminal coronary angioplasty in octogenarians with unstable coronary syndromes. Am J Cardiol, 1990,66 : 857-858.
  • 5Kern M J, Deligonul U, Galan K, et al. Percutaneous transluminal coronary angioplasty in octogenarians. Am J Cardiol, 1988,61:457-458.
  • 6Batchelor WB, Anstrom K J, Muhlbaier LH, et al. Contemporary outcome trends in the elderly undergoing percutaneous coronary interventions:results in 7,472 octogenarians. National Cardiovascular Network Collaboration. J Am Coil Cardiol,2000 ,36 :723-730.
  • 7Costa JR, Sousa A, Moreira AC, et al. Drug-eluting stents in the elderly:long-term ( > one year) clinical outcomes of octogenarians in the DESIRE ( Drug-Eluting Stents In the REal world) registry. J Invasive Cardio1,2008 ,20 :404-410.
  • 8Zimmermann S, Ruthrof S, Nowak K, et al. Outcomes of contemporary interventional therapy of ST elevation infarction in patients older than 75 years. Clin Cardiol,2009 ,32 :87-93.
  • 9Teplitsky I, Assali A, Lev E, et al. Results of pereutaneous coronary interventions in patients > or = 90 years of age. Catheter Cardiovasc Interv, 2007,70 : 937 -943.
  • 10Boudou N, Roncalli J, Lhermusier T, et al. Long-term clinical outcome after percutaneous coronary interventions in the elderly:results for 512 consecutive patients. EuroIntervention,2008,3 : 512 -517.

共引文献45

同被引文献27

二级引证文献10

;
使用帮助 返回顶部