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JACC：主血管支架置入后侧枝闭塞的预测因素

2013-08-19 高晓方 译 cmt

侧枝闭塞预测因素PCI
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韩国一项研究表明，侧枝血管造影表现、近端主血管（MV）狭窄和临床表现为MV支架置入后侧枝闭塞的预测因素；大侧枝闭塞与不良临床转归相关。论文8月在线发表于《美国心脏病学会杂志》（J Am Coll Cardiol）。【原文下载】 此项研究共纳入2227例因冠脉分叉病变而行药物洗脱支架PCI治疗的患者。以心肌梗死溶栓（TIMI）血流分级<3定义MV支架置入后侧枝闭

韩国一项研究表明，侧枝血管造影表现、近端主血管（MV）狭窄和临床表现为MV支架置入后侧枝闭塞的预测因素；大侧枝闭塞与不良临床转归相关。论文8月在线发表于《美国心脏病学会杂志》（J Am Coll Cardiol）。【原文下载】

此项研究共纳入2227例因冠脉分叉病变而行药物洗脱支架PCI治疗的患者。以心肌梗死溶栓（TIMI）血流分级<3定义MV支架置入后侧枝闭塞。评估侧枝闭塞的预测因素和临床转归。

结果显示，共有187例（8.4%）患者出现侧枝闭塞。在多变量分析中，侧枝闭塞的独立预测因素为术前侧枝狭窄≥50%（比值比[OR] 2.34）、近端主血管狭窄≥50%（OR 2.34）、侧枝病变长度（OR 1.03）和急性冠脉综合征（OR 1.53）。在187例侧枝闭塞患者中，血流自主恢复和介入恢复者分别为26（13.9%）和103例（55.1%）。侧枝保护性导丝与血流恢复相关。侧枝闭塞患者更有可能出现心源性死亡或心肌梗死（校正危险比2.34）。

原始出处：

Joo-Yong Hahn; Woo Jung Chun; Ji-Hwan Kim; Young Bin Song; Ju Hyeon Oh; Bon-Kwon Koo; Seung Woon Rha; Cheol Woong Yu; Jong-Sun Park; Jin-Ok Jeong; Seung-Hyuk Choi; Jin-Ho Choi; Myung-Ho Jeong; Jung Han Yoon; Yangsoo Jang; Seung-Jea Tahk; Hyo-Soo Kim; Hyeon-Cheol Gwon.Predictors and Outcomes of Side Branch Occlusion after Main Vessel Stenting in Coronary Bifurcation Lesions: Results from the COBIS (COronary BIfurcation Stenting) II Registry ONLINE FIRST.J Am Coll Cardiol. 2013;():. doi:10.1016/j.jacc.2013.07.041 【原文下载】

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    2013-11-01 hbwxf

    #JACC#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1853246, encodeId=96ea185324645, content=<a href='/topic/show?id=48351020537' target=_blank style='color:#2F92EE;'>#JACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10205, encryptionId=48351020537, topicName=JACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=55ce62, createdName=hbwxf, createdTime=Fri Nov 01 00:15:00 CST 2013, time=2013-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1264191, encodeId=e2f712641912a, content=<a href='/topic/show?id=daf1100226fb' target=_blank style='color:#2F92EE;'>#预测因素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100226, encryptionId=daf1100226fb, topicName=预测因素)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a57b78, createdName=朱睿睿, createdTime=Wed Aug 21 05:15:00 CST 2013, time=2013-08-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1324841, encodeId=1a1713248417c, content=<a href='/topic/show?id=96c71804b7' target=_blank style='color:#2F92EE;'>#ACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1804, encryptionId=96c71804b7, topicName=ACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e452500029, createdName=12498568m50暂无昵称, createdTime=Wed Aug 21 05:15:00 CST 2013, time=2013-08-21, status=1, ipAttribution=)]
    2013-08-21 朱睿睿

    #预测因素#

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1853246, encodeId=96ea185324645, content=<a href='/topic/show?id=48351020537' target=_blank style='color:#2F92EE;'>#JACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10205, encryptionId=48351020537, topicName=JACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=55ce62, createdName=hbwxf, createdTime=Fri Nov 01 00:15:00 CST 2013, time=2013-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1264191, encodeId=e2f712641912a, content=<a href='/topic/show?id=daf1100226fb' target=_blank style='color:#2F92EE;'>#预测因素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100226, encryptionId=daf1100226fb, topicName=预测因素)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a57b78, createdName=朱睿睿, createdTime=Wed Aug 21 05:15:00 CST 2013, time=2013-08-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1324841, encodeId=1a1713248417c, content=<a href='/topic/show?id=96c71804b7' target=_blank style='color:#2F92EE;'>#ACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1804, encryptionId=96c71804b7, topicName=ACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e452500029, createdName=12498568m50暂无昵称, createdTime=Wed Aug 21 05:15:00 CST 2013, time=2013-08-21, status=1, ipAttribution=)]
    2013-08-21 12498568m50暂无昵称

    #ACC#

    0