Voudris V, Marco J, Morice M C, Fajadet J, Royer T
Centre Cardiologique du Nord, Saint-Denis, France.
Cathet Cardiovasc Diagn. 1990 Mar;19(3):160-4. doi: 10.1002/ccd.1810190303.
Between January 1987 and February 1988, 1,385 patients underwent percutaneous transluminal coronary angioplasty; 27 procedures were performed using prophylactic intraaortic balloon counterpulsation. Twenty-four patients had poor left ventricular function (EF less than 40%), and coronary dilatation was performed in arteries opposite to an occluded myocardial necrosis related vessel. In three patients of advanced age with distal stenoses and normal left ventricular function a multivessel dilatation was performed. Primary success rate was achieved in all patients. There were no deaths, myocardial infarctions or emergency bypass operations in the hospitalization period. During the follow-up (9 to 21 months) there were 2 deaths, 1 cardiac transplantation, and 6 restenosis with repeated dilatation. If revascularization is warranted, in high-risk patients, coronary angioplasty can be performed safely and successfully with protection by intraaortic balloon counterpulsation. However the long-term prognosis of these patients is complicated by the presence of other high-risk variables, such as advanced age or poor left ventricular function.
1987年1月至1988年2月期间，1385例患者接受了经皮腔内冠状动脉成形术；27例手术使用了预防性主动脉内球囊反搏。24例患者左心室功能较差（射血分数小于40%），对与闭塞性心肌坏死相关血管相对的动脉进行了冠状动脉扩张。3例高龄患者存在远端狭窄且左心室功能正常，进行了多支血管扩张。所有患者均取得了初步成功。住院期间无死亡、心肌梗死或急诊搭桥手术。随访期间（9至21个月）有2例死亡、1例心脏移植，6例再狭窄并进行了重复扩张。如果有血管重建的必要，在高危患者中，主动脉内球囊反搏保护下的冠状动脉成形术可以安全、成功地进行。然而，这些患者的长期预后因存在其他高危因素而变得复杂，如高龄或左心室功能差。
