CAJ | 학술논문

脑血管意外是经皮冠状动脉介入治疗（percutaneous coronary intervention，PCI）后最严重的并发症之一。研究表明，高龄、高血压、糖尿病、卒中史、肾脏衰竭、心力衰竭、主动脉内球囊反搏（intra-aortic bal oon pump，IABP）、紧急冠状动脉造影等是PCI后脑血管意外的危险因素。PCI后发生脑血管意外的患者住院时间延长，住院费用增加，致死致残率高，多数患者在出院后有持久的神经系统缺陷。研究认为可以通过优化药物治疗，减小导管口径，避免低血压等措施来降低脑血管意外的发生率。
뇌혈관의외시경피관상동맥개입치료（percutaneous coronary intervention，PCI）후최엄중적병발증지일。연구표명，고령、고혈압、당뇨병、졸중사、신장쇠갈、심력쇠갈、주동맥내구낭반박（intra-aortic bal oon pump，IABP）、긴급관상동맥조영등시PCI후뇌혈관의외적위험인소。PCI후발생뇌혈관의외적환자주원시간연장，주원비용증가，치사치잔솔고，다수환자재출원후유지구적신경계통결함。연구인위가이통과우화약물치료，감소도관구경，피면저혈압등조시래강저뇌혈관의외적발생솔。
Percutaneous coronary intervention-related cerebrovascular accidents (PCI-CVA) is reported to occur in 0.18% to 0.44% of all PCI procedures, which is one of the most debilitating complications. An advanced age, arterial hypertension, diabetes mellitus, history of stroke, congestive heart failure, renal failure, the use of an intra-aortic balloon pump, coronary angiography performed under emergency conditions have been identiifed as risk factors for PCI-CVA. PCI-CVA patients suffer from longer hospital stay, higher expenses, higher mortality and persistent neurological defects. We can optimize drug therapy, use smaller-caliberguides, and avoid hypotension to reduce the PCI-CVA's incidence.