老年冠心病CABG术后复发患者行PCI治疗的效果及预后

Effect and prognosis of PCI in elderly patients with coronary heart disease recurrence after CABG surgery

目的:分析老年冠心病CABG术后复发行PCI治疗效果及对预后的影响。方法:回顾性分析2017年12月至2020年5月收治的92例患者资料,统计PCI手术效果、术后主要心血管事件和死亡情况。结果:治疗成功88.04%,MACE发生率22.22%,死亡率12.35%。发生组合并糖尿病、病变位置、支架植入桥血管、CABG时间、脂蛋白a、极低密度脂蛋白均高于未发生组,回归显示,糖尿病、支架植入桥血管、CABG时间长、Lpa、VLDL水平高是独立因素,CABG时间、Lpa、VLDL、支架植入桥血管是死亡独立因素。结论:PCI是治疗的有效手段,合并支架植入桥血管、CABG时间长、Lpa及VLDL水平高可增加PCI术后MACE和全因死亡风险。

Objective:To analyze the therapeutic effect and prognosis of recurrent PCI after CABG in elderly patients with coronary heart disease.Methods:the data of 92 patients who died after PCI from May 2017 to may 2020 were analyzed retrospectively.Results:the successful treatment was 88.04%,the incidence of mace was 22.22%,and the mortality was 12.35%.The incidence of combined diabetes mellitus,lesion location,stent graft,CABG time,lipoprotein A and very low density lipoprotein were all higher than those of the non occurrence group.Regression showed that diabetes,stent implantation,long CABG and high Lpa and VLDL levels were independent factors.CABG time,Lpa,VLDL and stent implantation were independent factors of death.Conclusion:PCI is an effective treatment.Combined with stent implantation,long CABG time and high levels of LPA and VLDL can increase the risk of mace and all-cause death after PCI.