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[经皮腔内冠状动脉成形术后缺血性心脏病患者冠状动脉再狭窄的预测因素]

[Predictors of coronary artery restenosis in IHD patients after transluminal balloon coronary angioplasty].

作者信息

Savchenko A P, Saed I R, Matchin Iu G, Smirnov A A, Liakishev A A

出版信息

Ter Arkh. 1995;67(4):35-9.

PMID:7784971
Abstract

To determine clinical and angiographic predictors of restenosis after successful PTCA, we analysed the data on 63 patients (68 stenoses) who had undergone repeat coronary angiography during the first eight months after successful PTCA. The overall restenosis rate was 42.6%. Four clinical and angiographic factors were associated with high risk of restenosis. Residual stenosis > or = 25% was the strongest predictor of restenosis (p = 0.002). Among other factors presence of unstable angina, complicated lesion morphology and absence of intimal dissection had equal value of significance (p = 0.02 in all the cases).

摘要

为确定成功进行经皮腔内冠状动脉血管成形术(PTCA)后再狭窄的临床和血管造影预测因素,我们分析了63例患者(68处狭窄病变)的数据,这些患者在成功进行PTCA后的头八个月内接受了重复冠状动脉造影。总体再狭窄率为42.6%。四个临床和血管造影因素与再狭窄的高风险相关。残余狭窄≥25%是再狭窄最强的预测因素(p = 0.002)。在其他因素中,不稳定型心绞痛的存在、复杂病变形态以及无内膜撕裂具有同等的显著意义(所有病例中p = 0.02)。

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