Chassaing S, Eltchaninoff H, Koning R, Cribier A
Service de cardiologie, hôpital Charles-Nicolle, 1, rue de Germont, 76000 Rouen.
Arch Mal Coeur Vaiss. 2001 Feb;94(2):95-102.
The aim of this retrospective study was to assess the immediate and medium-term clinical and angiographic results of multiple angioplasty with stenting in 100 consecutive patients with multivessel coronary artery disease. The mean age of the population was 62 +/- 11 years. Two hundred and eight lesions were treated (2.5 +/- 0.7 per patient) with implantation of 1.14 +/- 0.4 stents per lesion. The angiographic success rate was 98.7%. There were 5 major complications in the hospital period: 3 deaths, including 2 of cardiac causes, one coronary bypass procedure and one Q wave myocardial infarction. During follow-up (17 +/- 6 months), eight patients died (5 of cardiac causes) and secondary revascularisation procedures were required in 22 patients. At 6 months, the angiographic restenosis rate was 32% per lesion, 28.8% per stent and 33 patients had at least one restenosis.
本回顾性研究的目的是评估100例连续性多支冠状动脉疾病患者接受多次血管成形术及支架置入术的近期和中期临床及血管造影结果。研究人群的平均年龄为62±11岁。共治疗208处病变（每位患者2.5±0.7处），每处病变植入1.14±0.4枚支架。血管造影成功率为98.7%。住院期间发生5例主要并发症：3例死亡，其中2例死于心脏原因，1例接受冠状动脉搭桥手术，1例发生Q波心肌梗死。在随访期间（17±6个月），8例患者死亡（5例死于心脏原因），22例患者需要进行二次血运重建手术。6个月时，每处病变的血管造影再狭窄率为32%，每枚支架为28.8%，33例患者至少有一处再狭窄。
