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冠状动脉扩张患者影像学特征分析

阚丽虹 洪家旺 李纪明 蔡振荣 庄晓华 刘学波

同济大学学报(医学版)2017,Vol.38Issue(5):92-95,4.
同济大学学报(医学版)2017,Vol.38Issue(5):92-95,4.DOI:10.16118/j.1008-0392.2017.05.019

冠状动脉扩张患者影像学特征分析

Clinical characteristics and imaging features of patients with coronary artery ectasia

阚丽虹 1洪家旺 2李纪明 3蔡振荣 1庄晓华 1刘学波4

作者信息

  • 1. 复旦大学附属浦东医院心内科,上海201399
  • 2. 复旦大学附属浦东医院急救创伤部,上海201399
  • 3. 同济大学附属东方医院心内科,上海200120
  • 4. 同济大学附属同济医院心内科,上海200065
  • 折叠

摘要

Abstract

Objective To analyze the clinical characteristics and imaging features of patients with coronary artery ectasia (CAE).Methods Total 7 204 patients underwent angiography and coronary stents implantation from July 2012 to June 2015,among whom 213 cases were confirmed as CAE (3.0%).The clinical and imaging features of CAE patients were retrospectively analyzed.Results Among 213 CAE patients,118 cases were males and 95 were females with an average age of (66.0 ± 10.5) years and 80 cases were smokers (37.6%).There were 126 CAE patients with coronary artery stenosis (59.2%),155 cases with hypertension (72.8%),50 cases with diabetes (23.5%),51cases with a history of coronary stent implantation (24.0%).The CAE was distributed in 292 coronary arteries and single vessel involvement was dominant.The most common location was fight coronary artery (n =122,41.8%),followed by the anterior descending branch (n =88,30.1%),circumflex (n =73,25.0%),and left main (n =9,3.1%).CAE combined with coronary artery stenosis was observed in 195 vessels (66.8%),the proportion was much higher than CAE alone (n =97,33.2%).Conclusion Coronary artery ectasia is more common in male patients,in patients with a history of hypertension and with coronary stenosis.The CAE is commonly distributed in the fight coronary artery with one single coronary artery involved.

关键词

冠状动脉扩张/冠状动脉造影/右冠状动脉/左回旋支/左前降支

Key words

coronary artery ectasia/coronary artery angiography/fight coronary artery/left circumflex artery/left anterior descending artery

分类

医药卫生

引用本文复制引用

阚丽虹,洪家旺,李纪明,蔡振荣,庄晓华,刘学波..冠状动脉扩张患者影像学特征分析[J].同济大学学报(医学版),2017,38(5):92-95,4.

基金项目

国家自然科学基金(81370390) (81370390)

同济大学学报(医学版)

OACSTPCD

1008-0392

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