Warner M F, DiSciascio G, Kohli R S, Vetrovec G W, Sabri M N, Goudreau E, Kelly K M, Cowley M J
Department of Medicine, Medical College of Virginia, Richmond.
Am Heart J. 1992 Nov;124(5):1169-74. doi: 10.1016/0002-8703(92)90396-d.
Between May 1982 and December 1988, a total of 103 patients underwent angioplasty of all three major coronary arteries at a single institution. Angiographic success was achieved in 334 of 352 vessels (95%) and in 441 of 460 lesions (96%). No patients required urgent bypass surgery, and none died during the procedure; six had non-Q wave infarctions. The mean length of follow-up time was 49 +/- 15 months (range 28 to 107 months). There have been 11 deaths, and one patient has undergone cardiac transplantation. Thirty-six patients had a clinical recurrence; 30 had repeat angioplasty and five had bypass surgery. Another nine patients eventually had bypass surgery after the clinical recurrence. At 48 months actuarial event-free rates are myocardial infarction, 98%; bypass surgery, 88%; and death, 89%. Of 86 current survivors, 58 are in functional class O to I, 21 are in class II, and seven are in class III.
1982年5月至1988年12月期间，共有103例患者在同一机构接受了所有三支主要冠状动脉的血管成形术。352支血管中有334支（95%）、460处病变中有441处（96%）实现了血管造影成功。没有患者需要紧急搭桥手术，术中也无死亡病例；6例发生非Q波梗死。平均随访时间为49±15个月（范围28至107个月）。有11例死亡，1例患者接受了心脏移植。36例患者出现临床复发；30例接受了再次血管成形术，5例接受了搭桥手术。另外9例患者在临床复发后最终接受了搭桥手术。在48个月时，无事件生存率为：心肌梗死98%；搭桥手术88%；死亡89%。在86名目前的幸存者中，58名心功能为0至I级，21名心功能为II级，7名心功能为III级。
