Efficacy of different revascularization methods in treatment of coronary heart disease
BI Yun
WANG Ni
GUO Xian-li
Abstract：Objective To compare the clinical efficacy of two revascularization methods, coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI), in treatment of coronary heart disease (CHD). Methods The clinical data was retrospectively analyzed from CHD patients (n=300, male 168 and female 132) undergone treatment in the Department of Cardiology of Affiliated Hospital of Yan’an University from Mar. 2012 to Apr. 2014. All patients were divided into CABG group (n=75) and PCI group (n=225). The status of coronary artery lesions and number of lesion coronary vessel were examined with angiography before the operation, and death status was recorded during hospitalized period. The patients were followed up after the operation for 2 y for recording the incidence of major adverse cardiovascular events (MACE).Results The percentage of patients with lesions of left main coronary artery, anterior descending branch and right coronary artery was significantly higher in CABG group than that in PCI group (allP<0.05). The percentage of patients with 1-vessel lesion and 2-vessel lesion was significantly lower in CABG group than that in PCI group (2.67%vs. 34.22% and 2.67%vs. 32.44%, all P<0.05). The rate of patients with 3-vessel lesion was 94.67% in CABG group and 33.33% in PCI group (P<0.05). The number of lesion vessel was higher in CABG group than that in PCI group [(2.47±0.76)vs. (1.49±0.50), P<0.05]. There were totally 273 patients followed up successfully, and follow-up rate was 91.00%. There were 67 patients followed up for (23.67±5.76) m in CABG group and 206 followed up for (23.89±6.23) m in PCI group. The percentage of died patients and patients with recurrent myocardial infarction and heart failure had no statistical significance between 2 group (allP>0.05). The percentage of patients with re-revascularization was significantly lower in CABG group than that in PCI group (1.49%vs. 8.74%,P<0.05). The comparison in the total incidence of MACE had no statistical significance between 2 groups (P>0.05).Conclusion CABG is the first selection for improve prognosis in patients with CHD complicated lesions, and re-revascularization rate is lower in patients undergone CABG than that in ones undergone PCI.
Keywords：Coronary heart diseaseCoronary artery bypass graftingPercutaneous coronary interventionRevascularization
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：3( 71-73 )