Therapeutic effect and safety of bare metal stent in patients with coronary heart disease complicated im-paired glucose tolerance
10.3969/j.issn.1008-0074.2014.03.26
- VernacularTitle:冠心病合并糖耐量受损患者应用金属裸支架的疗效及安全性
- Author:
Dewei WANG
;
Jie HUANG
;
Haiying YANG
- Publication Type:Journal Article
- Keywords:
Coronary artery disease;
Diabetes mellitus;
Stents;
Treatment outcome
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2014;23(3):318-320
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the clinical therapeutic effect and safety of bare metal stent (BMS)application in patients with coronary heart disease (CHD)complicated impaired glucose tolerance (IGT).Methods:The data of 68 CHD + IGT patients undergoing stent implantation in our hospital were retrospectively analyzed.According to kind of implanted stents,they were divided into BMS group (n=36)and drug eluting stent (DES)group (n=32). Thrombolysis in myocardial infarction (TIMI)flow grade and Gensini score of coronary lesion were compared be-tween two groups via reviewing coronary angiography six months after operation.Incidence rates of re-stenosis,a-cute thrombosis,sub-acute thrombosis,revascularization and sudden death were compared between two groups after one year follow-up.Results:There were no significant difference in TIMI grade and Gensini score of coronary le-sion between two groups after operation (P>0.05).Compared with DES group after one-year follow-up,there were significant reductions in incidence rates of acute thrombosis (6.25% vs. 2.78%), sub-acute thrombosis (15.63% vs.5.56%)and sudden death (6.25% vs.2.78%)in BMS group (P<0.05 all),but there were no signif-icant difference in incidence rates of re-stenosis and revascularization between two groups (P>0.05).Conclusion:Application of bare metal stent can reduce incidence rate of postoperative complications and possess better therapeu-tic effect in patients with coronary heart disease complicated impaired glucose tolerance.