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[冠状动脉多支病变时急性冠状动脉综合征的侵入性治疗]

[Invasive treatment of acute coronary syndrome in multiple affection of the coronary arteries].

作者信息

Beliaev A A, Oleĭnikova E N

出版信息

Khirurgiia (Mosk). 2006(12):13-9.

PMID:17419481
Abstract

A comparative assessment of the risk of invasive myocardial revascularizations in patients with multiple affection of coronary arteries and acute coronary syndrome (ACS) without stable ST-elevation on ECG was carried out. Group A (n=45) consisted of patients with one-stage revascularization with coronary bypass (CB) during ACS, group B (n=45) - balloon angioplasty /stenting of symptom-determining artery with subsequent CB in the "cold period" (6 months after ACS episode). It is demonstrated that the one-stage procedure (i.e. multiple CB during ACS) is more effective compared with two-stage invasive treatment because of lower lethality and lower rate of CHD complications.

摘要

对冠状动脉多支病变且心电图无稳定ST段抬高的急性冠状动脉综合征(ACS)患者进行有创心肌血运重建术风险的比较评估。A组(n = 45)由在ACS期间接受冠状动脉搭桥术(CB)一期血运重建的患者组成,B组(n = 45)由在“冷期”(ACS发作后6个月)对决定症状的动脉进行球囊血管成形术/支架置入术并随后进行CB的患者组成。结果表明,一期手术(即ACS期间多次CB)与二期有创治疗相比更有效,因为致死率更低且冠心病并发症发生率更低。

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