解放军医学院学报2017，Vol.38Issue(6)：500-504,5.DOI:10.3969/j.issn.2095-5227.2017.06.003
单纯前降支病变机器人冠脉旁路移植术与药物洗脱支架的远期疗效对比
Long-term outcomes of robotically assisted coronary artery bypass graft surgery versus drug eluting stent in patients with isolated left anterior descending disease
摘要
Abstract
Objective To compare the long-term outcomes of robotically assisted coronary artery bypass graft (R-CABG) versus percutaneous coronary intervention (PCI) with drug eluting stents (DES) for patients with isolated left anterior descending disease(iLAD). Methods Clinical data were collected in 223 patients who underwent R-CABG in our hospital from April, 2007 to November, 2014. Cardiology Database System of our hospital was used to identify 4047 patients who underwent PCI with DES for LAD lesion from April, 2011 to November, 2014. Total of 496 patients received DES and 108 patients underwent R-CABG were screened out. Patients were matched into 108 R-CABG and DES pairs by propensity score according to vital statistics. Mortality, incidence of myocardial infarction(MI), stroke, repeat target lesion revascularization(r-TLR), main adverse cardiac and cerebral events(MACCE) and angina relief were compared across pairs. Results Kaplan-Meier estimates for R-CABG and DES had no significant difference in mortality (P=1.000), incidence of MI (P=0.3173), Stroke (P=0.7963) and MACCE (P=0.4652), but the rate of r-TLR (P=0.0339) was lower in R-CABG group. Patients in R-CABG group had lower rates of arrhythmia (P=0.0160) and recurrent angina (P=0.0209) after operation compared with patients in DES group. Conclusion Although R-CABG patients had lower r-TLR rate and better angina relief compared with DES patients, there were no difference in mortality, occurence of MI, stroke, and MACCE between them.关键词
前降支近端病变/药物洗脱支架/机器人/倾向评分匹配Key words
proximal left anterior descending disease/drug eluting stent/robot/propensity score matching分类
医药卫生引用本文复制引用
李双磊,陈韵岱,高长青..单纯前降支病变机器人冠脉旁路移植术与药物洗脱支架的远期疗效对比[J].解放军医学院学报,2017,38(6):500-504,5.基金项目
国家高技术研究发展计划 (863 计划 )(2012AA021104) Supported by the National High Technology Research and Development Program of China(2012AA021104) （863 计划 ）
