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Percutaneous coronary intervention of unprotected left main stenoses – Procedural data and outcome depending on SYNTAX I Score

机译:虚拟冠状动脉干预未受保护的左主要缩减 - 程序数据和结果,具体取决于我得分

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BackgroundWe hypothesized that SYNTAX I score is a predictor for procedure complexity in left main PCI. Procedure complexity, duration and contrast load may contribute to adverse outcome of complex left main percutaneous coronary intervention (PCI). MethodsIn 105 consecutive patients who underwent PCI of unprotected left main coronary artery stenoses between 2014 and 2016, clinical parameters as well as PCI characteristics and follow-up data were analyzed. ResultsThe mean SYNTAX I score was 29?±?12, with 66 patients having a SYNTAX I score?≤?32 and 39 patients a SYNTAX I score?>?32. In patients with high SYNTAX I score vs. low-to-intermediate SYNTAX I score, single stent techniques were performed significantly less frequently (18% vs. 68%;p?
机译:BackgroundWe假设语法I得分是左主PCI中的程序复杂性的预测因子。程序复杂性,持续时间和对比度载荷可能导致复杂左主要经皮冠状动脉干预(PCI)的不利结果。方法在2014年和2016年间接受未受保护左主冠状动脉狭窄的PCI的连续患者,分析了临床参数以及PCI特征和后续数据。结果均值常规我得分为29?±12,有66名患者的语法我得分?≤?32和39名患者的语法我得分?>?32。在高语法的患者中,我得分与低于中间语法I得分,单支架技术频率显着较低(18%与68%; p?<0.001),而粉碎(44%与5%44% ; P?<0.001)和截面技术(20%vs.5%; p?= 0.003)更频繁地进行。在所有105例没有霸王性死亡率的情况下实现了程序成功。在随访期间,与低中间语法I得分的患者相比,重复PCI更频繁地更频繁地更频繁地(34%vs.13%; p?= 0.003)。尽管如此,高与中中间语法的患者患者的总体死亡率并不不同(20%与18%)。结论PCI治疗左主要冠状动脉狭窄的策略随着我得分的增加而显着复杂。虽然这意味着更长的过程持续时间和对比度负荷,但短期结果似乎不受我得分的语法影响。

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