药物洗脱支架再狭窄特点及相关因素分析Analysis of characteristics and risk factors of drug-eluting stent restenosis from 217 patients
李琪,刘健,卢明瑜,马玉良,赵红,丁荣晶,刘传芬,王伟民
摘要(Abstract):
目的分析药物洗脱支架(DES)再狭窄的特点及可能的相关危险因素。方法回顾性分析2006年1月1日至2012年5月1日于北京大学人民医院行冠状动脉造影复查的病例,将符合要求的病例分为支架再狭窄组217例、非支架再狭窄组420例,分析DES再狭窄的特点及可能的相关危险因素。结果糖尿病、较小的血管直径、重叠置入支架、分叉病变、钙化病变、开口病变、支架断裂与DES再狭窄相关,DES再狭窄多为局限性再狭窄,但是前降支开口病变多表现为弥漫增生性再狭窄。结论糖尿病、较小的血管直径、重叠置入支架、分叉病变、钙化病变、开口病变与支架断裂是DES再狭窄的危险因素。前降支开口病变置入DES后的再狭窄类型多为弥漫增生性,与其他类型病变不同。
关键词(KeyWords): 药物涂层支架;冠状血管;冠状动脉再狭窄;危险因素
基金项目(Foundation):
作者(Author): 李琪,刘健,卢明瑜,马玉良,赵红,丁荣晶,刘传芬,王伟民
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