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高速旋磨术后冠状动脉夹层的发生率、预测因素及后果

Incidence, predictors, and consequences of coronary dissection following high-speed rotational atherectomy.

作者信息

Brown D L, Buchbinder M

机构信息

Division of Cardiovascular Medicine, University of California Medical Center, San Diego 92103-8411, USA.

出版信息

Am J Cardiol. 1996 Dec 15;78(12):1416-9. doi: 10.1016/s0002-9149(96)00639-x.

DOI:10.1016/s0002-9149(96)00639-x
PMID:8970417
Abstract

The incidence of dissection following rotational atherectomy was 12.8%. By multivariate analysis tortuosity, primary and non-type B lesions were correlated with an increased incidence of dissection. The procedural success rate was reduced in the presence of dissection (86% vs 96%; p = 0.0001) primarily because patients with dissection required coronary bypass more frequently than those without dissection.

摘要

旋磨术后夹层的发生率为12.8%。多因素分析显示,血管迂曲、原发病变及非B型病变与夹层发生率增加相关。夹层存在时手术成功率降低(86%对96%;p = 0.0001),主要原因是有夹层的患者比无夹层的患者更常需要进行冠状动脉搭桥术。

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[Rotational atherectomy: technique, indications, results].
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