Division of Cardiology and Internal Medicine, Health Co-op, Watari Hospital, Watari, Fukushima, Japan.
Geriatr Gerontol Int. 2010 Jan;10(1):102-6. doi: 10.1111/j.1447-0594.2009.00567.x.
A 73-year-old male in a persistent vegetative state underwent percutaneous coronary intervention (PCI) for unstable angina with multiple-vessel stenosis. The maximum dose pharmaceutical therapy was ineffective in controlling his symptoms. The goal of the procedure was to alleviate the patient's severe chest pain and vomiting with minimal invasion and risk. The procedure was effective despite treating only the culprit artery. Symptoms disappeared immediately after PCI and the patient remained attack free for 12 months. With the consent of the patient's family and support of medical staff, elective single-vessel PCI can be a practical and effective treatment option for refractory angina in patients with impaired consciousness.
一位 73 岁的持续性植物状态男性患者因多支血管狭窄不稳定型心绞痛而行经皮冠状动脉介入治疗（PCI）。最大剂量药物治疗对控制其症状无效。该手术的目的是通过最小的创伤和风险减轻患者的严重胸痛和呕吐。尽管仅治疗罪犯血管，但手术仍然有效。PCI 后症状立即消失，患者在 12 个月内无再发。在患者及其家属同意和医务人员支持下，对于意识障碍患者的难治性心绞痛，选择性单支血管 PCI 可以是一种实用且有效的治疗选择。
