Comparison in efficacies between complete revascularization and partial revascularization for ischemic cardiomyopathy patients with double coronary lesions
CHEN Shao-min
WANG Wen-liang
MA Gui-zhou
ZHENG Hai-sheng
XU Rong-he
Abstract：Objective To compare the efficacies between complete revascularization and partial revascularization for ischemic cardiomyopathy (ICM) patients with double coronary lesions.Methods A total of 112 ICM patients with double coronary lesions, including selective coronary angiography (SCAG) proven affected anterior descending coronary artery, were treated by percutaneous coronary intervention (PCI).All patients were divided into two groups according to different revascularization strategies: complete revascularization group (n=56), in which participants received stent implantation on both coronary lesions;and partial revascularization group (n=56), in which participants received stent implantation on anterior descending coronary artery only.Followed up for 1 year.The incidence of complication during operation, the level of plasma B-type natriuretic peptide (BNP), the left ventricular end diastolic dimension (LVDd), the left ventricular ejective fraction (LVEF) before and 1 year after interventions were compared.The incidence of 1-year adverse cardiac events after interventions was also compared.Results The incidence of complication during operation in partial revascularization group was significantly lower than that in complete revascularization group (P<0.05).The plasma BNP level and LVDd 1 year after interventions were significantly lower than that before interventions in both groups (P<0.05).The LVEF 1 year after interventions was significantly higher than that before interventions in both groups (P<0.05).There was no significant difference between complete revascularization group and partial revascularization group in BNP, LVDd or LVEF before or 1 year after interventions (P>0.05).There was no significant difference between complete revascularization group and partial revascularization group in the incidence of 1-year adverse cardiac events (P>0.05).Conclusion Both partial revascularization and complete revascularization effectively improve the cardiac function of ICM patients with double coronary lesions including anterior descending coronary artery, and there is lower incidence of complication during operation in partial revascularization.
Keywords：coronary revascularizationpercutaneous coronary interventiondouble coronary lesionsanterior descending coronary arteryischemic cardiomyopathycardiac function
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1367-1370 )