血流储备分数在冠状动脉临界病变介入治疗中的指导作用
发布时间：2018-08-19 14:25
【摘要】：目的探讨血流储备分数(FFR)在冠脉临界病变介入治疗中的指导作用。方法选择该院行冠状动脉造影(CAG)明确狭窄程度为70%~90%且拟行经皮冠状动脉介入治疗(PCI)的患者98例,依据治疗方法分为中观察组(51例)和对照组(47例)。观察组每处病变均行FFR测定,仅在FFR≤0.80处行支架植入,对照组常规CAG检查后行PCI。记录两组术中平均支架植入数量、造影剂使用量和手术时间,术后随访12个月统计不良心血管事件发生情况。结果观察组平均支架植入数量、造影剂使用量和手术时间均低于对照组(P0.05)。术后12个月两组再发心绞痛、心肌梗死、再次血运重建和心源性死亡发生率差异均无统计学意义(P0.05)。结论对于冠状动脉临界病变,FFR为选择性进行PCI治疗提供参考,能够减少平均支架植入数量、造影剂使用量和手术时间,节省医疗费用,减少了支架植入和造影剂使用相关并发症的发生风险。
[Abstract]:Objective to investigate the guiding role of (FFR) in the interventional therapy of coronary critical lesions. Methods Ninety-eight patients who underwent coronary angiography (CAG) with a definite stenosis of 70% and planned percutaneous coronary intervention (PCI) were divided into two groups according to the treatment methods: the middle observation group (51 cases) and the control group (47 cases). In the observation group, FFR was measured for each lesion, and stent implantation was performed only at FFR 鈮，
本文编号：2191924
[Abstract]:Objective to investigate the guiding role of (FFR) in the interventional therapy of coronary critical lesions. Methods Ninety-eight patients who underwent coronary angiography (CAG) with a definite stenosis of 70% and planned percutaneous coronary intervention (PCI) were divided into two groups according to the treatment methods: the middle observation group (51 cases) and the control group (47 cases). In the observation group, FFR was measured for each lesion, and stent implantation was performed only at FFR 鈮，
本文编号：2191924
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