Effect of spinous process balloon predilation on the efficacy and MACE in patients with severe CAC coronary heart disease
10.3969/j.issn.1008-0074.2025.01.09
- VernacularTitle:棘突球囊预扩张对重度CAC冠心病患者疗效、MACE的影响
- Author:
Xue-sheng ZHANG
1
;
Yang LI
;
Ya-qian XU
;
Wen-guang ZHANG
Author Information
1. 北京市平谷区医院心内科,北京 101200
- Publication Type:Journal Article
- Keywords:
Coronary disease;
Vascular calcification;
Balloon dilation
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2025;34(1):42-46
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study aims to compare the efficacy on patients with severe coronary artery calcification(CAC)coronary heart disease(CHD)between common balloon predilation and spinous process balloon predilation and their effect on short-term incidence of major adverse cardiovascular events(MACE).Methods:This retro-spective study enrolled 110 severe CAC patients with CHD who underwent percutaneous coronary intervention(PCI)in Beijing Pinggu District Hospital between January 2017 and January 2022.According to therapeutic pro-gram,they were divided into spinous process balloon group(n=55)and common balloon group(n=55),each group received corresponding balloon predilation before PCI.Application effect,perioperative complications and incidence of MACE within 6 months were compared between two groups.Results:Immediate surgical success rate in spinous process balloon group was significantly higher than that of common ballon group(92.73％vs.78.18％,P=0.031).Compared with patients in common balloon group,those in spinous process balloon group had signifi-cant lower times of balloon predilation[(2.79±0.14)times vs.(7.29±2.24)times],operation time[(1.24±0.29)h vs.(1.59±0.34)h]and incidence of perioperative complications(3.64％vs.14.55％),and significant larger lumen diameter after PCI[(3.79±0.26)mm vs.(3.29±0.24)mm](P＜0.05 or＜0.01).There was no significant difference in incidence of MACE within 6 months between two groups(P=0.428).Conclusion:The ap-plication of spinous process balloon predilation could significantly reduce times of balloon predilation,operation time,improve surgical success rate and reduce risk of short-term MACE in severe CAC patients with CHD.
