慢性全闭塞经皮冠状动脉介入治疗中的外周动脉疾病。

IF 1.6 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Invasive Cardiology Pub Date : 2025-01-01 DOI:10.25270/jic/24.00196

Michaella Alexandrou, Athanasios Rempakos, Deniz Mutlu, Ahmed Al Ogaili, Pedro E P Carvalho, Dimitrios Strepkos, James W Choi, Paul Poommipanit, Khaldoon Alaswad, Mir Babar Basir, Rhian Davies, Farouc A Jaffer, Phil Dattilo, Anthony H Doing, Lorenzo Azzalini, Nazif Aygul, Raj H Chandwaney, Brian K Jefferson, Sevket Gorgulu, Jaikirshan J Khatri, Laura D Young, Oleg Krestyaninov, Dmitrii Khelimskii, Jarrod Frizzell, Omer Goktekin, James D Flaherty, Daniel R Schimmel, Keith H Benzuly, Mahmut Uluganyan, Ramazan Ozdemir, Yousif Ahmad, Bavana V Rangan, Olga C Mastrodemos, M Nicholas Burke, Konstantinos Voudris, Yader Sandoval, Emmanouil S Brilakis

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引用次数: 0

摘要

背景：外周动脉疾病（PAD）对慢性全闭塞（CTO）经皮冠状动脉介入治疗（PCI）结果的影响尚未得到充分研究：外周动脉疾病（PAD）对慢性全闭塞（CTO）经皮冠状动脉介入治疗（PCI）结果的影响尚未得到充分研究：我们使用 PROGRESS-CTO 登记的数据分析了 PAD 与 CTO-PCI 治疗效果的关系，这些数据来自 2012 年至 2023 年期间在 47 个中心进行的手术：在研究期间接受 CTO PCI 的 12 961 名患者中，PAD 患病率为 13.9%（1802 人）。PAD患者年龄较大，更有可能是吸烟者，血脂异常、糖尿病、脑血管疾病、高血压、既往心肌梗死、PCI和冠状动脉旁路移植手术的发生率较高。他们的 PROGRESS-CTO (1.35 vs 1.22; P < .001) 和 J-CTO (2.63 vs 2.33; P < .001) 评分更高，病变长度更长，血管造影特征更复杂。与无 PAD 患者相比，他们的入路部位更可能是双股动脉（33.6% vs 30.9%; P = .024）。PAD患者的技术成功率（82.9% vs 87.7%；P < .001）和手术成功率（80.5% vs 86.6%；P < .001）较低，而主要不良心血管事件（MACE）的发生率较高（3.1% vs 1.8%；P < .001），死亡率（0.8% vs 0.4%；P = .034）、急性心肌梗死率（0.9% vs 0.4%；P = .010）和穿孔率（6.6% vs 4.5%；P < .001）更高。在多变量分析中，PAD 与较高的 MACE（几率比 [OR]：1.53；95% CI，1.01-2.26；P = .038）和较低的技术成功率（OR：0.82；95% CI，0.69-0.99；P = .039）相关：结论：接受CTO PCI治疗的PAD患者合并症负担更高、CTO更复杂、MACE更高、技术成功率更低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Peripheral artery disease in chronic total occlusion percutaneous coronary intervention.

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来源期刊

Journal of Invasive Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

2.90

自引率

6.70%

发文量

214

审稿时长

3-8 weeks

期刊介绍： The Journal of Invasive Cardiology will consider for publication suitable articles on topics pertaining to the invasive treatment of patients with cardiovascular disease.