既往PCI或CABG患者经皮导管重复血运重建术:证据的综合回顾

G. J. Valooran, M. Subbiah, M. Idhrees, Mukesh Karuppannan, M. Bashir, Bashi V. Velayudhan
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引用次数: 0

摘要

经皮冠状动脉介入治疗(PCI)或冠状动脉旁路移植术(CABG)后的重复血运重建术是最常见的长期并发症之一,需要持续的临床随访。再次干预对冠状动脉疾病患者的长期生存有负面影响。PCI术后重复血运重建术既可以是靶病变血运重建术(支架内血栓形成/支架内再狭窄),也可以是PCI术后原冠状动脉血运重建术(靶血管重建术/非靶血管重建术)。EVENT注册报告称,在随访的第一年,PCI患者的重复血运重建率为12%。重复血管重建术与额外的支架部署增加了支架血栓和再狭窄的发生率,从而导致复发性缺血事件。CABG术后重复血运重建术既可以在术后早期进行,也可以由于自身疾病进展或移植物狭窄晚期进行。手术或经皮血运重建术后需要再次干预是不可避免的,并且取决于可改变和不可改变的危险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Percutaneous catheter-based repeat revascularization in patients with previous PCI or CABG: a comprehensive review of the evidence
Repeat revascularization after percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) is one of the most common long-term complications which warrants continuous clinical follow up. Re-interventions negatively impact long-term survival in patients with coronary artery disease. The repeat revascularization after PCI can be either a target lesion revascularization (stent thrombosis/in-stent restenosis) or a revascularization of native coronary artery after PCI (target vessel revascularization/non-target vessel revascularization). The EVENT registry reports that repeat revascularization rates in patients undergoing PCI is 12% in the first year of follow up. Repeat revascularization with additional stent deployment increases the rate of stent thrombosis and restenosis, thereby leading to recurrent ischemic events. Repeat revascularization after CABG can be either in the early postoperative period or later due to native disease progression or late graft stenosis. The need for re-intervention after surgical or percutaneous revascularization is inevitable and is dependent on modifiable and non-modifiable risk factors.
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