复杂的亚组患者中的血运重建术_葛均波(英文版）演示文稿.ppt

Revascularization in Complex Patient Subsets: A Report from the ACC.09 and i2 Summit 2009;Revascularization in Complex Patient Subsets;Revascularization In The Very Elderly;In-Hospital Complications After PCI:Effect of Age;Complications* After Elective PCIin Octogenarians; Safety Concerns in ACS Care: The Elderly Bleed More;Acute Coronary Syndrome Registries;TACTICS-TIMI 18: Elderly ACS Patients Benefit the Most From Early Invasive Strategy;AMI in the Elderly; 75 yrs (n=2580) ? 75 yrs (n=452);;;2) SYNTAX Trial Conclusions:(victory for both camps)Surgical Viewpoint:PCI was inferior to CABG and failedto meet it’s primary endpoint;Aggressive background therapy for CAD and diabetes;3) FREEDOM Recruitment: 1532 patients;CABG is superior to PCI with regards to the need for repeat revascularization; DES-PCI is closing the gap Well-powered trials of at least 3-years duration are required before definitive conclusions on the cluster of death/MI/Stroke can be drawn The SYNTAX Score can help guide therapy ; more complex disease benefits from CABG while others achieve equal results with PCI Major emphasis should be put on intensive CV risk factor management. It is critical that both arms achieve optimal control of risk factors ;Coronary Artery Revascularization in Patients with Chronic Kidney Disease.;CKD and Revascularization;CONTRAST-INDUCED NEPHROPATHY IN-HOSPITAL MORTALITY;Incidence of Adverse Outcomes @ 6 Months With STEMI Reperfusion-GRACE Registry;Incidence of Hospital Stroke and Major Bleeding Stratified by Renal Function in GRACE Registry;Survival Post PCI in EVENT Registry;Survival After Revascularization in CKDAlberta Provincial Project for Outcomes in CHD (APPROACH);Survival Post CABG in ESRD;Algorithm For Revascularization in CKDA Nephrologists Perspective;Conclusion;Revascularization in poor LV function;Ischemic LV Dysfunction;How to assess viability?;Conclusions;Significantly Improved Vascular Complications Among Women Undergoing PCI:From