Baim D S
Beth Israel Hospital, Boston, Massachusetts.
Curr Opin Cardiol. 1991 Aug;6(4):524-9. doi: 10.1097/00001573-199108000-00006.
Coronary angioplasty has continued to undergo important developments, both in terms of the maturation of conventional balloon angioplasty, and the favorable preliminary results of a variety of novel adjunctive techniques. To the extent that these new techniques can address the residual limitations of conventional angioplasty--and thereby improve its success, safety, and durability--angioplasty is likely to become the dominant form of myocardial revascularization in the 1990s. To ensure that this tool is applied correctly, however, careful randomized trials must be performed to establish which medical, surgical, or catheter-based treatment represents the best approach to a given clinical situation.
冠状动脉血管成形术持续经历着重大发展，这体现在传统球囊血管成形术的成熟以及各种新型辅助技术取得的良好初步成果两方面。只要这些新技术能够解决传统血管成形术的残留局限性，进而提高其成功率、安全性和持久性，那么血管成形术在20世纪90年代很可能会成为心肌血运重建的主要方式。然而，为确保正确应用这一工具，必须开展严谨的随机试验，以确定针对特定临床情况，哪种药物、外科或基于导管的治疗方法是最佳途径。
