中国临床医学2013，Vol.20Issue(1)：23-24,2.
冠状动脉慢性完全闭塞病变经皮介入治疗术后支架内再狭窄的影响因素分析
Influential Factors of In-Stent Restenosis in Patients with Chronic Total Occlusion after Percutaneous Coronary Intervention
仲昕 1李晨光 1黄浙勇 1刘学波 1葛雷 1钱菊英 1葛均波1
作者信息
摘要
Abstract
Objective:To investigate the influential factors of in-stent restenosis (ISR) in patients with coronary chronic total occlusion (CTO) after percutaneous coronary intervention (PCI). Methods:The clinical data of 129 patients with CTOs, hospi talized in Zhongshan hospital. Fudan University from January 2004 to December 2009, treated by drug-eluting stents (DES) and followed up by coronary angiography (CAG) was analyzed retrospectively. All the patients were divided into ISR group and non-ISR group according to the presence of ISR during follow-up. The risk factors of ISR were analyzed by single factor and Logistic stepwise regression. Results: In the 129 cases, the rate of ISR was 18. 6% (24/129). Compared with non-ISR group, there were more patients with history of myocardial infarction (54. 2% vs 31. 4% ,P = 0. 036)and finer minimal lumen diameter (MLD. 2. 13 ± 0. 31 vs 2. 29 + 0. 40,P = 0. 038) in ISR group. Multiple Logistic regression analysis revealed that history of myocardial infarction ( P = 0. 045, OR = 3. 268) and MLD immediately after PCI (P = 0. 049, OR = 0. 071) were independent predictors for ISR after PCI. Conclusions: History of myocardial infarction and MLD immediately after PCI were independent predictors for ISR after PCI.关键词
冠状动脉/慢性完全闭塞病变/药物洗脱支架/支架内再狭窄Key words
Coronary/Chronic total occlusion/Drug-eluting stent/In-stent restenosis分类
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仲昕,李晨光,黄浙勇,刘学波,葛雷,钱菊英,葛均波..冠状动脉慢性完全闭塞病变经皮介入治疗术后支架内再狭窄的影响因素分析[J].中国临床医学,2013,20(1):23-24,2.
