Gagnon R M, Dumont G, Sestier F, Morissette M, Doyle D, Blaise G A, Delarohellière R
Department of Medicine, Notre-Dame Hospital, Montreal, Quebec.
Can J Cardiol. 1990 Sep;6(7):287-92.
Percutaneous transluminal coronary angioplasty was performed in 22 patients with associated significant medical or surgical conditions. It was successful in 22 patients. Two had procedure-related complications: one femoral hematoma and one small myocardial infarction. The patients were divided into a 'medical' group (12 patients) and a 'surgical' group (10 patients). In the medical group, mean coronary artery stenosis decreased from 87 +/- 5% to 20 +/- 13% and mean coronary artery stenosis decreased from 57 +/- 2% to 16 +/- 7%. In the surgical group coronary artery stenosis decreased from 83 +/- 9% to 18 +/- 9% and the gradient from 49 +/- 16 to 16 +/- 6 mmHg. Percutaneous transluminal coronary angioplasty allowed the safe management of underlying conditions in all patients so that medical treatment could be continued and noncardiac surgery performed.
对22例伴有严重内科或外科疾病的患者实施了经皮腔内冠状动脉成形术。该手术在22例患者中取得成功。2例出现与手术相关的并发症：1例股部血肿，1例小面积心肌梗死。患者被分为“内科”组（12例）和“外科”组（10例）。内科组中，平均冠状动脉狭窄从87±5%降至20±13%，平均冠状动脉狭窄从57±2%降至16±7%。外科组中，冠状动脉狭窄从83±9%降至18±9%，压力阶差从49±16降至16±6 mmHg。经皮腔内冠状动脉成形术使所有患者的基础疾病得到安全处理，从而能够继续进行内科治疗并实施非心脏手术。
