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目的:观察部分血运重建(IR)治疗对多支血管病变(MVD)患者的疗效。方法:入选79例MVD患者,仅对最可能的缺血相关血管实施经皮冠状动脉血运重建(PCI)治疗。观察所有患者的手术成功率、住院期间及6个月时死亡率、6个月时不良事件发生率。结果:所有患者手术成功率98.7%,无严重并发症,住院死亡率1.3%;6个月时死亡率2.5%,MI发生率2.5%,再次PCI率3.8%。结论:对MVD患者采取经皮IR治疗策略可以获得较好的临床效果。
Objective: To observe the curative effect of partial revascularization (IR) on patients with multivessel disease (MVD). METHODS: Ninety-nine MVD patients were enrolled in this study. Percutaneous coronary revascularization (PCI) was performed on the most likely ischemic vessels. All patients were followed up for surgical success, hospitalization and 6-month mortality, and incidence of adverse events at 6 months. Results: The success rate of operation in all patients was 98.7%. There was no serious complication. The in-hospital mortality rate was 1.3%. The mortality rate at 6 months was 2.5%. The MI rate was 2.5%. The PCI rate was 3.8%. Conclusion: The clinical effect of transcutaneous IR therapy for MVD patients can be obtained.