[1]倪靖炜,沈卫峰,张瑞岩,等.冠心病合并慢性肾功能不全患者的临床特征和PCI远期预后分析[J].介入放射学杂志,2007,(03):152.
 NI Jing-wei,SHEN Wei-feng,ZHANG Rui-yan,et al.Clinical characteristics and long-term outcome of PCI in patients with chronic renal insufficiency[J].journal interventional radiology,2007,(03):152.
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冠心病合并慢性肾功能不全患者的临床特征和 PCI 远期预后分析()

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

卷:
期数:
2007年03期
页码:
152
栏目:
心脏介入
出版日期:
2007-03-15

文章信息/Info

Title:
Clinical characteristics and long-term outcome of PCI in patients with chronic renal insufficiency
作者:
倪靖炜沈卫峰张瑞岩
200025上海交通大学医学院附属瑞金医院心脏科
Author(s):
NI Jing-weiSHEN Wei-fengZHANG Rui-yanZHANG QiZHANG Jian-shengHU Jian
Department of Cardiology,Ruijin Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai200025,China
关键词:
慢性肾功能不全冠心病经皮冠状动脉介入术
分类号:
R541.4;R692.5
文献标志码:
A
摘要:
目的测定冠心病合并慢性肾功能不全(CRI)患者的临床特征,并探讨药物洗脱支架对这些患者冠状动脉介入治疗(PCI)的主要不良事件发生率和临床远期预后的作用。方法973例经冠状动脉造影确诊冠状动脉明显狭窄(管腔内径减少>50%)中,516例合并肾功能不全(CRI组),457例肾功能正常(对照组)。记录两组基础临床和造影情况,每例均接受PCI治疗和术后临床随访。结果CRI组高龄、高血压及糖尿病患者明显多于对照组,但左室射血分数显著低于对照组。CRI组冠状动脉复杂病变(C型)明显多于对照组。平均17个月随访结果显示,CRI组总病死率高于对照组(6.2%和3.3%,P<0.05)。亚组分析显示,CRI患者药物洗脱支架治疗后病死率低于普通支架(4.1%和8.5%,P<0.05)。结论CRI患者通常冠状动脉病变严重,PCI后病死率明显增加,但药物洗脱支架较普通支架显著改善远期预后。

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备注/Memo

备注/Memo:
收稿日期:2006-09-04
更新日期/Last Update: 2007-03-15