JACC:冠脉搭桥和经皮介入治疗的10年预后比较

2018-12-08 MedSci MedSci原创

既往已有研究报道了冠脉搭桥(CABG)和经皮导管介入术(PCI)在治疗左冠状动脉主干病变(LMCA)预后疗效中的差异,但其超远期的预后比较尚不清楚。本研究的目的旨在评估和比较CABG和PCI在治疗LMCA十年后的疗效。本研究纳入分析了MAIN-COMPARE临床研究中的2240名LMCA患者 ,其中1102名接受了PCI治疗,1138名接受了CABG治疗,经过10年随访分析后,发现两组患者在死亡风

既往已有研究报道了冠脉搭桥(CABG)和经皮导管介入术(PCI)在治疗左冠状动脉主干病变(LMCA)预后疗效中的差异,但其超远期的预后比较尚不清楚。本研究的目的旨在评估和比较CABG和PCI在治疗LMCA十年后的疗效。

本研究纳入分析了MAIN-COMPARE临床研究中的2240名LMCA患者 ,其中1102名接受了PCI治疗,1138名接受了CABG治疗,经过10年随访分析后,发现两组患者在死亡风险和不良预后的组合发生率上无明显差异。靶血管血管再生化率在PCI组中要明显更高。随后又比较分析了药物涂层支架置入和CABG,发现5年后的死亡风险和不良预后发生率在药物涂层支架组中明显更高。

研究结果显示,对于LMCA患者,CABG和PCI在术后10年的死亡风险和不良预后组合风险无明显差异,但是PCI组的靶血管再生率要明显更高,另外,死亡风险和不良预后发生率在药物涂层支架组中明显更高。

原始出处:

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    2019-01-19 hbwxf
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    2018-12-12 flysky120

    冠脉介入治疗

    0

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    2018-12-10 yese
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    2018-12-08 医者仁心5538

    学习了

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