|
|
Influencing Factors of In-Stent Restenosis after PCI in Elderly Patients with Coronary Heart Disease |
ZUO Zu-wen, LU Chao-ling, TAN Jian-lian |
Department of Cardiology, People's Hospital of Hezhou City, Guangxi Zhuang Autonomous Region, 542800 |
|
|
Abstract 【Objective】To analyze the influencing factors of restenosis after coronary stent implantation by percutaneous coronary intervention (PCI) in elderly patients with coronary heart disease in Hezhou area.【Methods】A total of 937 elderly patients with coronary heart disease in Hezhou area receiving treatment at the People's Hospital of Hezhou City from June 2012 to January 2017 were the subjects of this study. Clinical data of all patients were collected to analyze the related factors of restenosis after coronary stent implantation by PCI in senior coronary heart disease.【Results】A total of 47 cases of stent restenosis occurred in the 937 patients with coronary stents, accounting for 5.02% of the total study group. Smoking history, hypertension, diabetes, LDL-C≥2.6mmol/L, stent diameter<3.5mm, the number of stent ≥ 2 pieces, stent length≥30mm, tandem stent, withdrawl of aspirin, family history of coronary heart disease, no high-dose statins were independent risk factors for restenosis after coronary stenting by PCI in elderly patients with coronary heart disease (P<0.05).【Conclusion】The factors that affect the restenosis after coronary stenting in senior patients in Hezhou are complex and need to be combined with the basic disease and coronary angiography results to reasonably assess the risk factors. In cases where there is a high risk of coronary stent restenosis, it is necessary to increase the secondary prevention of coronary heart disease with drug treatment regimens, strive to reduce the occurrence of coronary stent restenosis and improve the prognosis of senior patients with coronary heart disease.
|
Received: 17 January 2018
|
|
|
|
|
[1] 邓婵翠,邓文文,许官学,等.冠心病PCI术后支架内再狭窄的相关因素分析[J].中国动脉硬化杂志,2017,25(3):278-283. [2] 李涛.冠脉支架术后患者导致 ISR 的相关因素分析[J].河北医学,2014,16(7):1092-1095. [3] 谷臣锋,刘剑雄,郑庆昆,等.中老年冠心病患者冠状动脉药物洗脱支架置入术后支架内再狭窄的相关因素分析[J].四川医学,2017,38(7):797-801. [4] 刘斌,陶贵周.冠状动脉内支架置入术后支架内再狭窄的相关因素分析[J].中国循环杂志,2017,32(z1):92. [5] 杨蕾,王丽娟.冠状动脉支架内再狭窄相关因素分析[J].沈阳医学院学报,2012,14(3):141-142,157. [6] 张月婷.影响冠心病PCI术后患者支架内再狭窄的因素分析[J].中外医学研究,2016,14(18):35-36. [7] Pereira-da-Silva T ,Patrício L ,Cruz Ferreira R .Rotational atherectomy combined with bioresorbable vascular scaffold implantation:a feasible approach for recurrent in-stent restenosis when other therapies failed[J].J Invasive Cardiol,2015,27(7):E143-145. [8] 刘树英,刁克,聂芳,等.冠状动脉支架植入术后支架再狭窄相关因素的临床分析[J].现代中西医结合杂志,2014,16(28):3161-3162,3163. [9] 姚远,梁峰,沈珠军,等.冠心病冠脉支架术后患者发生再狭窄的危险因素分析[J].临床和实验医学杂志,2015,12(14):1177-1179. [10] 随永刚,滕思勇,裴汉军,等.冠心病患者冠脉支架术后发生再狭窄的危险因素回归分析[J].现代生物医学进展,2016,16(25):4851-4854,4872. [11] Otsuka Y ,Murata T ,Kono M ,et al.Black hole restenosis after drug-eluting stent implantation for in-stent restenosis:potential mechanism and optimal strategy[J].Heart Vessels,2015,30 (5):682-686. [12] 陈晓洋,涂良珍.冠心病PCI术后再狭窄的临床分析[J].心血管康复医学杂志,2011,20(4):361-364. [13] 刘泉.冠心病冠脉支架术后患者再狭窄发生的危险因素[J].中国继续医学教育,2016,8(2):75-76. |
|
|
|