Comparison of coronary stenting and bypass grafting in patients of left ventricular dysfunction with coronary artery disease
10.3760/cma.j.issn.1008-6315.2009.03.003
- VernacularTitle:左心室功能不全冠心病患者支架术与冠状动脉旁路移植术的对比研究
- Author:
Bin QUE
;
Zhizhong LI
;
Jingmei ZHANG
;
Su WANG
;
Ying TAO
;
Yongqiang LAI
;
Hong ZHAGN
;
Tao SUN
;
Zhanyong ZHAO
;
Chengqian YIN
;
Zhao LI
- Publication Type:Journal Article
- Keywords:
Coronary stenting;
Coronary artery bypass grafting;
Left ventricular dysfunction;
Prognosis
- From:Clinical Medicine of China
2009;25(3):231-234
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the in-hospital and follow-up clinical results of percutaneous coronary intervention(PCI)and coronary artery bypass grafting(CABG)in patients of left ventricular dysfunction with coronary artery disease.Methods 147 patients with left ventricular dysfunction were divided into PCI group(n=60)and CABG group(n=87).Clinical,angiographic and revascularization data were collected for analysis.Patients were by SPSS 13.0 software.P value of less than 0.05 was considered statistically significant.Results In-hospital MACCE rates and mortality ofthe two groups were comparable[(6.7%vs 9.2%,P＞0.05)and(1.7%vs 8.0%,P＞0.05)].Multivariate Logistic regression analysis indicated that in-hospital MACCE risk of the two groups were similar(OR≥3.03,95%CI 0.27～34.48,P＞0.05).22-month follow-up showed no signficance in MACCE rates (16.0%vs 13.8%,P＞0.05)and in repeated revaseularization rates(8.O%vs 1.7%,P＞0.05)between the two groups.Multivariate Cox regression analysis indicated that follow-up MACCE risk of the two groups were comparable (HR≥1.35,95%C/0.44～4.13,P＞0.05).Conclusion In coronary artery disease patients with left ventricular dysfunction,PCI and CABG have similar in-hospital and long-tem MACCE rates.Long-terra effect of PCI would be further increased with the wide use of drug-eluting stents.
