【冠状动脉疾病对外周动脉疾病患者手术后主要不良心血管事件发生率的影响(文献综述)】。

B G Alekyan, N G Karapetyan, A R Avoyan
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引用次数: 0

摘要

本文综述了目前重症和慢性下肢缺血合并冠状动脉疾病患者的外科治疗趋势,并对重症和慢性下肢缺血患者行心肌血运重建术(经皮冠状动脉介入治疗和冠状动脉旁路移植术)的必要性等问题进行了深入探讨。2010年,全球有超过2.02亿人患有外周动脉疾病;其中,2000万至4000万人患有间歇性跛行,另有4500万人(22.5%)被诊断患有冠状动脉疾病和急性脑缺血,已知这是导致致命结果的主要原因。因此,为了对重症和慢性下肢缺血合并冠状动脉疾病患者的治疗提出明确的建议,有必要在此方向上进行进一步的研究。
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[Effect of coronary artery disease on incidence of major adverse cardiovascular events after surgical treatment of patients with peripheral arterial disease (literature review)].

This review article describes the current trends in surgical treatment of patients with critical and chronic lower-limb ischemia combined with coronary artery disease, taking a close look at the problems concerning the necessity of performing myocardial revascularization (percutaneous coronary intervention and coronary artery bypass grafting) in patients with critical and chronic lower-limb ischemia. Globally, more than 202 million people were living with peripheral artery disease in 2010; of these, 20-40 million people had intermittent claudication, with a further 45 (22.5%) million people diagnosed with coronary artery disease and acute cerebral ischemia known to be the leading cause of lethal outcomes. It is concluded that further studies are warranted in this direction in order to work out clear-cut recommendations on treatment of patients with critical and chronic lower-limb ischemia combined with coronary artery disease.

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