部分FFR指导的血运重建(原版)
2016-04-15 12:15:51 0 举报
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部分FFR指导的血运重建是一种基于冠状动脉血流储备分数(FFR)的治疗方案。这种方法通过测量冠状动脉狭窄病变处的FFR值,来判断该病变是否需要进行血运重建手术。如果FFR值低于0.75,说明该病变对心肌供血造成了严重影响,需要进行血运重建手术以改善心肌缺血状况。这种方案具有较高的准确性和安全性,能够有效降低术后并发症的发生率,提高患者的生活质量。然而,部分FFR指导的血运重建也存在一些局限性,如对FFR值的解释和应用仍存在一定的争议,以及在临床实践中需要综合考虑多种因素来制定个体化的治疗方案。
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457 patients underwent FFR assessment
Lost to follow-up(n=10)
FFR-guided group (n=327)
FFR>0.8 in all indicated lesions and deferred PCI
Lost to follow-up(n=4)
Analyzed on endpoints(n=193)
Analyzed on endpoints(n=62)
At least one stenosis with an FFR ≤0.80 and treated with PCI
68 Were not eligible 29 Had left main artery stenosis 7 Had prior CABG 3 Were referred for CABG rather than PCI 7 Only had FFR value of branch vessel 7 Had data missing 4 Only had a post-PCI FFR value 11 Had PCI performed despite FFR0.80
FFR-MT group (n=62)
FFR-PCI subgroup(n=134)
Lost to follow-up(n=5)
Analyzed on endpoints(n=134)
At least one stenosis with an FFR ≤0.80 and received medical therapy(MT)
FFR-Defer subgroup (n=193)
389 patients enrolled
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