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Application of SYNTAX and its Derivative Scores in the Selection of Revascularization Strategies for complex coronary heart disease

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Chinese Medical Sciences Journal 2022年第4期37卷 340-348页

作者： Yuxu Zhang Rongruo Zeng Ye Yang Yin Shen Department of International Medical Services People’s Hospital of Guangxi Zhuang Autonomous RegionNanning 530021China School of Graduate Guangxi Medical UniversityNanning 530021China

complex coronary heart disease(CHD)has become a hot spot in medicine due to its complex coronary anatomy,variable clinical factors,difficult hemodynamic reconstruction,and limited effect of conservative drug *** complex CHD and selecting optimal treatment methods have become more scientific as revascularization technology has improved,and coronary risk stratification scores have been *** and its derivative scores are decision-making tools that quantitatively describe the characteristics of coronary lesions in patients based on their complexity and *** SYNTAX and its derivative scores could assist clinicians in rationalizing the selection of hemodynamic reconstruction treatment strategies,and have demon-strated outstanding value in evaluating the prognosis of patients with complex CHD undergoing revascularization *** authors in this article summary the practical application of SYNTAX and its derivative scores in complex CHD in order to deepen the understanding of the relationship between the choice of different revascularization strategies and SYNTAX and its derived scores in complex CHD and provide a further reference for clinical treatment of complex CHD.

关键词： complex coronary heart disease revascularization strategies SYNTAX and its derivative scores

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Unfractionated Heparin with Sequential Enoxaparin in Patients with complex coronary Artery Lesions during Percutaneous coronary Intervention

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Chinese Medical Journal 2018年第20期131卷 2417-2423页

作者： Zhi-Zhong Li Ying Tao Su Wang Cheng-Qian Yin Yu-Long Gao Yu-Tong Cheng Zhao Li Chang-Sheng Ma Department of Cardiology Beijing Anzhen Hospital Capital Medical University Beijing Institute of Heart Lung and Blood Vessel Diseases Beijing 100029 China

Background： Unfractionated heparin （UFH）, despite its limitations, has been used as the primary anticoagulant alternative during the percutaneous coronary intervention （PCI）. Some studies indicated that intravenous enoxaparin could be an effective and safe option. Our team used enoxaparin alone at one time according to the guidelines （Class IIA） and found a little catheter thrombosis during PCI. We recommend a new anticoagulation strategy using enoxaparin in combination with UFH. Enoxaparin has a more predictable anticoagulant response with no need of repeatedly monitoring anticoagulation during PCI. This retrospective study aimed to evaluate the efficacy and safety of using enoxaparin in combination with UFH in PCI patients with complex coronary artery disease. Methods： Between January 2015 and April 2017, 600 PCI patients who received intravenous UFH at an initial dose of 3000 U plus intravenous enoxaparin at a dose of 0.75 mg/kg （observation group） and 600 PCI patients who received UFH at a dose of 100 U/kg （control group） were consecutively included in this retrospective study. The endpoints were postoperative 48-h thrombolysis in myocardial infarction （TIMI） bleeding and transfusion and 30-day and l-year major adverse cardio-cerebrovascular events （MACCE）. Results： Baseline clinical, angiographic, and procedural characteristics were similar between groups, except there was less stent implantation per patient in the observation group （2.13 vs. 2.25 in the control group, P = 0.002）. TIMI bleeding （3.3% vs. 4.7%） showed no significant difference between the observation group and control group. During the 30-day follow-up, the rate of MACCE was 0.9% in the observation group and 1.5% in the control group. There was no significant difference in the rates of MACCE, death, myocardial infarction, target vessel revascularization, cerebrovascular event, and angina within 30 days and 1 year after PC1 between groups as well as in the subgroup analysis of transfemoral approa

关键词： complex coronary heart disease Enoxaparin Percutaneous coronary Intervention Unfractionated Heparin

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