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冠状动脉再狭窄的X线形态

[X-ray morphology of coronary artery restenosis].

作者信息

Savchenko A P, Pavlov N A, Levitskiĭ I V, Murashkovskiĭ A L

出版信息

Vestn Rentgenol Radiol. 1996 Sep-Oct(5):13-5.

PMID:8967004
Abstract

The data on 36 patients who had undergone coronary angiography (CAG) and/or transluminal balloon angioplasty (TBAP) again after successful TBAP were analyzed. Twenty four patients were found to develop restenosis (n = 26), 80 and 92% of patients having them within the first 6 and 12 months after successful TBAP, respectively. Restenosis were demonstrated to be of almost the same degree and extent as the baseline stenoses; however, after repeated TBAP there was a slight reduction in the extent of residual stenosis as compared with the first TBAP (15.9 +/- 16.1% and 30.8 +/- 16.6%, respectively), though this difference was insignificant. At baseline, 42% of dilated stenoses were complicated and/or eccentric, while restenosis were eccentric in 16% of cases (p < 0.05) and complicated in 21% (p < 0.05). Thus, restenoses are X-ray morphologically more favourable for TBAP.

摘要

对36例在经皮腔内球囊血管成形术(TBAP)成功后再次接受冠状动脉造影(CAG)和/或经皮腔内球囊血管成形术(TBAP)的患者的数据进行了分析。发现24例患者发生再狭窄(n = 26),分别有80%和92%的患者在成功实施TBAP后的前6个月和12个月内出现再狭窄。结果表明,再狭窄的程度和范围与基线狭窄几乎相同;然而,与首次TBAP相比,重复实施TBAP后残余狭窄程度略有降低(分别为15.9 +/- 16.1%和30.8 +/- 16.6%),尽管这种差异不显著。基线时,42%的扩张狭窄为复杂型和/或偏心型,而再狭窄病例中16%为偏心型(p < 0.05),21%为复杂型(p < 0.05)。因此,从X线形态学角度来看,再狭窄对TBAP更为有利。

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