Therapeutic efficacy and safety of percutaneous coronary intervention by only the guidewire versus by the guidewire dependent on balloon for treatment of chronic total occlusions
10.3760/cma.j.issn.0254-9026.2011.07.005
- VernacularTitle:两种指引导丝操作技术治疗冠状动脉慢性闭塞性病变患者的疗效及安全性
- Author:
Weihua GUO
;
Guohong WANG
;
Mingying WU
;
Bo CHEN
;
Lei WANG
;
Jun LIU
;
Zhimin MA
;
Zhe CHEN
- Publication Type:Journal Article
- Keywords:
Coronary disease;
Angioplasty,transluminal,percutaneous coronary
- From:
Chinese Journal of Geriatrics
2011;30(7):544-546
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the feasibility, safety and efficacy of percutaneous coronary intervention (PCI) for treatment of chronic total occlusions (CTO)by only the guidewire versus by the guidewire dependent on balloon. Methods The 108 patients with CTO confirmed by coronary angiography and treated with PCI from March 2009 to March 2011 were enrolled in this study, including 59 cases with old myocardial infarction, 22 unstable angina cases and 27 stable angina cases. The clinical data, outcomes of PCI, perioperative complications and incidence of major adverse cardiac events (MACEs) during follow-up were retrospectively analyzed between group A (only by the guide wire) and group B (by guide wire dependent on balloon). Results The 88 of 108 patients (81.5%) got successful operations. The success rate of CTO was a little higher in group B than in group A [80.0%(52/65) vs. 83.7%(36/43), P＞0.05]. The rate of total complications was more in group A than in group B [10.8%(7/65) vs. 2.3%(1/43), P＜0.05]. No death occurred during operation, no MACE occurred after operation in hospital and no patients underwent emergency coronary artery bypass graft (CABG) in the two groups. Conclusions The PCI for treatment of CTO used by the guidewire dependent on balloon shows a safety and effecary.
