Topaz O, DiSciascio G, Vetrovec G W, Goudreau E, Sabri N, Nath A, Kohli R S, Cowley M J
Department of Medicine, Medical College of Virginia, Richmond.
Cathet Cardiovasc Diagn. 1991 Jan;22(1):7-13. doi: 10.1002/ccd.1810220103.
Significant coronary artery disease affecting the septal perforator arteries can cause anginal pain, rhythm disturbances, or septal infarction. However, since these vessels are usually inaccessible to coronary bypass surgery, there is a tendency among angiographers and angioplasters to overlook lesions of the septal perforator arteries. Our experience suggests that if medical treatment is not sufficient to treat clinical manifestations resulting from septal perforator disease, then coronary angioplasty can be considered a therapeutic alternative for revascularization. We herein present 11 patients who underwent coronary angioplasty of a major septal artery and discuss angiographic and technical aspects of the procedure.
影响间隔支动脉的严重冠状动脉疾病可导致心绞痛、心律失常或间隔梗死。然而，由于这些血管通常无法进行冠状动脉搭桥手术，血管造影师和血管成形术医生往往会忽略间隔支动脉的病变。我们的经验表明，如果药物治疗不足以治疗间隔支疾病引起的临床表现，那么冠状动脉成形术可被视为一种血运重建的治疗选择。我们在此介绍11例接受主要间隔动脉冠状动脉成形术的患者，并讨论该手术的血管造影和技术方面。
