Moscucci M, Feldman T
Beth Israel Hospital, Boston.
J Crit Illn. 1993 Feb;8(2):185-8; 191-3; 197-208.
The use of percutaneous transluminal coronary angioplasty has expanded tremendously over the past decade. Because equipment has improved and physicians' experience has increased, the procedure is often appropriate for patients with complex lesions or difficult coronary anatomies. Currently, stenoses are successfully opened in more than 90% of patients. Angioplasty is an alternative to medical therapy for patients with one- or two-vessel disease; in some patients with multivessel disease, it is an alternative to coronary artery bypass graft surgery. Among elderly patients, those who are poor candidates for bypass surgery, those who have had previous bypass surgery, and those with acute myocardial infarction or cardiogenic shock, coronary angioplasty may be particularly useful.
在过去十年中，经皮腔内冠状动脉成形术的应用得到了极大的扩展。由于设备有所改进且医生经验有所增加，该手术通常适用于患有复杂病变或冠状动脉解剖结构复杂的患者。目前，超过90%的患者狭窄病变得以成功开通。对于单支或双支血管病变的患者，血管成形术是药物治疗的一种替代方法；对于一些多支血管病变的患者，它是冠状动脉旁路移植手术的一种替代方法。在老年患者、那些不适合进行搭桥手术的患者、那些曾接受过搭桥手术的患者以及患有急性心肌梗死或心源性休克的患者中，冠状动脉成形术可能特别有用。
