The clinical curative effect of coronary artery bypass graft in the treatment of acute coronary syndrome
10.3760/cma.j.issn.1673-4904.2013.08.006
- VernacularTitle:冠状动脉旁路移植术治疗急性冠状动脉综合征的临床疗效
- Author:
Shuxiu SUN
;
Wei LIU
;
Peng LI
- Publication Type:Journal Article
- Keywords:
Coronary artery bypass graft;
Coronary disease;
Angioplasty,transluminal,percutaneous coronary
- From:
Chinese Journal of Postgraduates of Medicine
2013;(8):16-18
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the curative effect of coronary artery bypass graft (CABG) in the treatment of acute coronary syndrome (ACS).Methods Clinical data of 64 patients with ACS were retrospectively analyzed,41 patients received CABG (CABG group) and 23 patients received percutaneous coronary intervention (PCI,PCI group).Mainly cardiac events and secondary cardiac events were compared.Results The incidence rate of cadiovascular and cerebrovascular events during hospitalization in CABG group was 7.32％(3/41),in PCI group was 8.70％ (2/23),there was no significant difference (P ＞ 0.05).All patients accomplished follow-up and follow-up time was 12-48 months.The meta follow-up time in CABG group was 35.26 months,in PCI group was 33.19 months.The incidence rate of cadiovascular and cerebrovascular events during follow-up in CABG group was 19.51％ (8/41),in PCI group was 30.43％(7/23),there was no significant difference (P＞ 0.05).The incidence rate of death,myocardial infarction,cerebrovascular events,angina pectoris and total cadiovascular and cerebrovascular events between two groups had no significant difference(P＞ 0.05).Conclusions The surgery treatment in ACS is feasible,the curative effect of CABG and PCI is therapeutic equivalence.The choice of operation should be based on patients' condition and individual choice.Appropriate revascularization can get the best treatment efficiency.
