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老年患者经皮冠状动脉腔内成形术:近期疗效及长期随访结果
K Reynen1, B Kunkel, K Bachmann
1Department of Internal Medicine II, University of Erlangen-Nürnberg, Germany.
European heart journal
|December 1, 1993
概括
科学领域:
- 心脏病学
- 介入性心脏病学
背景情况:
- 老年患者(75-90岁)常伴有复杂的冠状动脉疾病。
- 不稳定型心绞痛是该人群常见的干预指征。
研究的目的:
- 评估经皮冠状动脉腔内成形术(PTCA)在老年患者中的急性期疗效及长期随访结果。
- 比较老年与较年轻患者群体经皮冠状动脉腔内成形术(PTCA)的成功率及治疗结局。
主要方法:
- 对125名接受经皮冠状动脉腔内成形术(PTCA)的75至90岁患者进行回顾性分析。
- 手术成功率、并发症、住院期间死亡率及长期临床结局的数据收集。
主要成果:
- PTCA在89%的患者中取得成功,病变相关成功率为91%。
- 主要并发症的发生率为5.6%,包括一例死亡。
- 在平均27个月的随访中,手术成功的幸存者中有87%处于心绞痛I级或II级。
结论:
- 老年患者经皮冠状动脉腔内成形术(PTCA)的成功率与年轻人群相当。
- 老年患者成功的经皮冠状动脉腔内成形术可带来持续的症状缓解和良好的长期预后。
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