20xx年醫(yī)學(xué)專題—對多支血管的冠心病選擇經(jīng)皮血管成形術(shù)或者外科手術(shù)的血管成形術(shù)(參考版)
2024-11-09 04:13本頁面
【正文】 Double LIMA/RIMA 27.6 (236/854) 16.1 (104/644),第三十八頁，共三十八頁。0.01 0.1 1 10 100。ir243。,第三十七頁，共三十八頁。,Explore The Best Of Both Worlds?,Hybrid approaches to minimize morbidity, recovery, pain and maximize durability Robotic IMA to LAD PCI with DES to nonLAD disease,第三十五頁，共三十八頁。 total arterial revascularization still uncommon Native vessel progression CABG not curative PCI frequently utilized for symptom relief in postCABG,第三十三頁，共三十八頁。,Limitations of PCI,TLR remains higher with PCI than CABG Long segments of stents Postdilation, IVUS Dual antiplatelet therapy Stent thrombosis PCI still has a significant acute failure rate in specific lesion subsets: CTO Bifurcation SVG Severe calcification/tortuosity,第三十二頁，共三十八頁。,SYNTAX Stent Thrombosis and Symptomatic Graft Occlusion,CP12948331,Stent Thrombosis,Symptomatic Graft Occlusion,T Feldman EuroPCR 2009,第三十頁，共三十八頁。41.2 mean 177。 SD) Total length implanted, 86.1177。2.3 3.1177。1.8 4.5177。,Procedural Differences Between SYNTAX PCI Randomized Cohort and the PCI Registry,PCI RCT PCI registry Variable n=903 n=192 Complete revasc (%) 56.7 (508/896) 36.5 (70/192) Lesions, no. (mean 177。,Serruys P et al. N Engl J Med 2009。,第二十六頁，共三十八頁。,第二十四頁，共三十八頁。,第二十二頁，共三十八頁。,第二十頁，共三十八頁。,Outcomes Stratified by SYNTAX Score,NEJM 360:970, 2009,Cumulative rate of major adverse cardiac or cerebrovascular events,P=0.71,Cumulative rate of major adverse cardiac or cerebrovascular events,P=0.10,Months since randomization,Months since randomization,Cumulative rate of major adverse cardiac or cerebrovascular events,P0.001,Months since randomization,Low SYNTAX Score (022),Intermediate SYNTAX Score (2232),High SYNTAX Score( 33),14.7,13.6,CABG,PCI,16.7,12.0,CABG,PCI,23.4,10.9,PCI,CABG,第十八頁，
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