[1]黄 科,胡宪清,郑国庆.冠状动脉慢性闭塞同台和择期介入治疗对手术成功率的影响[J].介入放射学杂志,2024,33(01):52-56.
　HUANG Ke,HU Xianqing,ZHENG Guoqing..The effect of simultaneous coronary angiography and percutaneous coronary intervention versus selective percutaneous coronary intervention on the surgical success rate in treating coronary chronic total occlusion[J].journal interventional radiology,2024,33(01):52-56.
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冠状动脉慢性闭塞同台和择期介入治疗对手术成功率的影响()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
33
期数:
2024年01
页码:
52-56
栏目:
临床研究
出版日期:
2024-01-31

文章信息/Info

Title:
The effect of simultaneous coronary angiography and percutaneous coronary intervention versus selective percutaneous coronary intervention on the surgical success rate in treating coronary chronic total occlusion
作者:
黄 科;  胡宪清;  郑国庆
Author(s):
HUANG Ke;  HU Xianqing;  ZHENG Guoqing.
First Clinical Medical College， Zhejiang University of Traditional Chinese Medicine， Hangzhou， Zhejiang Province 310053， Chi
关键词:
【关键词】 慢性完全闭塞病变;  经皮冠状动脉介入治疗;  手术成功率
文献标志码:
A
摘要:
【摘要】 目的 探讨同台和择期经皮冠状动脉介入治疗（PCI）对冠状动脉慢性完全闭塞（CTO）病变患者手术成功率的影响。方法 回顾性分析2020年1月1日至2022年12月31日在金华市中心医院接受PCI治疗的147例冠状动脉CTO患者临床资料。根据造影后是否即刻行PCI治疗将患者分为同台PCI组（n=64）和择期PCI组（n=83），比较两组间患者临床资料和手术成功率。多因素logisti回归分析判断CTO PCI手术成功的影响因素。 结果 同台PCI组病变闭塞长度显著短于择期PCI组（35 mm比50 mm，P=0.022），其他冠状动脉造影特征比较差异无统计学意义（均P＞0.05）。同台PCI组手术成功率显著低于择期PCI组（78.1%比 88.0%，P=0.034）。多因素logistic回归分析结果显示，同台PCI（OR=4.617，95%CI=1.900～11.221，P=0.001）、无残端病变（OR=4.381，95%CI=1.821～10.452，P=0.001）、闭塞长度≥20 mm （OR=2.462，95%CI=1.030～5.887，P=0.043）、手术并发症（OR=8.688，95%CI=1.573～47.971，P=0.013）是CTO PCI手术成功的独立影响因素。结论 同台PCI治疗CTO增加手术失败风险。

参考文献/References:

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备注/Memo

备注/Memo:
（收稿日期：2023- 10- 11）
（本文编辑：谷 珂）
更新日期/Last Update: 2024-01-30