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
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)