CAJ | 학술논문

目的：总结高龄冠状动脉旁路移植（ CABG ）术后心绞痛复发的冠心病患者行介入治疗的安全性及疗效。方法对9例实施介入治疗的CABG术后高龄患者的临床资料、造影结果、介入治疗结果进行回顾性分析。结果9例患者中共8例成功接受介入治疗，其中3例患者对桥血管行介入治疗，另5例患者对自体冠状动脉病变行介入治疗。8例成功接受介入治疗的患者中住院期间无心绞痛复发、无心肌梗死、无再次血运重建、无并发症、无死亡。所有患者随访12个月，其中3例有心绞痛复发，药物治疗可以缓解，无心肌梗死、无再次血运重建。结论高龄CABG术后患者行介入治疗是安全有效的，对于CABG术后心绞痛复发的高龄冠心病患者应及时行造影检查，以明确桥血管及冠状动脉病变情况，并根据造影结果及时对桥血管或冠状动脉病变行介入治疗。
목적：총결고령관상동맥방로이식（ CABG ）술후심교통복발적관심병환자행개입치료적안전성급료효。방법대9례실시개입치료적CABG술후고령환자적림상자료、조영결과、개입치료결과진행회고성분석。결과9례환자중공8례성공접수개입치료，기중3례환자대교혈관행개입치료，령5례환자대자체관상동맥병변행개입치료。8례성공접수개입치료적환자중주원기간무심교통복발、무심기경사、무재차혈운중건、무병발증、무사망。소유환자수방12개월，기중3례유심교통복발，약물치료가이완해，무심기경사、무재차혈운중건。결론고령CABG술후환자행개입치료시안전유효적，대우CABG술후심교통복발적고령관심병환자응급시행조영검사，이명학교혈관급관상동맥병변정황，병근거조영결과급시대교혈관혹관상동맥병변행개입치료。
Objective To summarize the safety and clinical therapeutic effect of advanced aged coronary heart disease(CHD) patients with angina recurrence after coronary artery bypass grafting (CABG).Methods The clinical data,arteriography and the interventional results of 9 aged patients with angina recurrence treated by CABG were retrospectively analyzed .Results There were 8 patients received intervention ,among them 5 patients received coronary artery intervention , another 3 patients received graft vessels intervention .During operation and hospitaliza-tion,angina recurrence,acute myocardial infarction,revascularization,complication and mortality were not observed in 8 patients who received intervention .All patients were followed up for 12 months,there were 3 patients had angina recurrence and cured by drugs , but had no acute myocardial infarction and revascularization .Conclusion The intervention for advanced aged patients after CABG is a safe and effective treatment .The advanced aged patients with angina recurrence need receive arteriography quickly and receive coronary artery interventional treatment or graft vessels interventional treatment .