中国全科医学2018，Vol.21Issue(17)：2059-2063,5.DOI:10.3969/j.issn.1007-9572.2018.00.198
植入金属裸支架治疗急性冠脉综合征患者的长期疗效与安全性随访研究
Long-term Safety and Efficacy of Bare Metal Stent Implantation in Patients with Acute Coronary Syndromes
摘要
Abstract
Objectives To investigate the long-term efficacy and safety of baremetal stent (BMS) implantation in patients with acute coronary syndrome (ACS).Methods A total of 491 ACS patients who underwent BMS implantation at the Affiliated Hospital of Beihua University between 2000 and 2005,for whom complete follow-up data were available,were enrolled in this study.Percutaneous coronary intervention was performed to implant the BMS.The following primary endpoints were recorded by the hospital:coronary angiography follow-up,outpatient follow-up,or telephone follow-up.Results The average follow-up time was (95±39) months.During the follow-up period,there were 171 cases of major cardiac adverse events (MACE). The incidence of MACE was 34.83%,and the average annual MACE rate was 4.38%.There were 68 death cases (13.85%);71 cases (14.46%) of target lesion revascularization;28 cases (5.70%) of target vessel revascularization;0 cases of late stent thrombosis(LST) and very late stent thrombosis(VLST);2 cases (0.41%) of heart failure;and 2 cases (0.41%) of coronary artery bypass graft.In-stent restenosis occurred in 106 cases (21.59%);stent segment restenosis developed in 60 cases (12.22%);and both types of restenosis occurred in 127 cases (25.87%).Conclusion The incidence of MACE, LST and VLST were lower in patients with ACS who underwent BMS implantation;the treatment thus has a favorable safety profile.关键词
急性冠状动脉综合征/金属裸支架/随访研究/治疗结果Key words
Acute coronary syndrome/Bare metal stent/Follow-up studies/Treatment outcome分类
医药卫生引用本文复制引用
刘睿方,孙凤,徐方兴,周玉杰,刘同库,徐丽华,顾明,丁福祥,马鸿雁,赵东明..植入金属裸支架治疗急性冠脉综合征患者的长期疗效与安全性随访研究[J].中国全科医学,2018,21(17):2059-2063,5.基金项目
中国医师协会阳光心血管研究基金项目(SCRFCMDA201214) （SCRFCMDA201214）
