Smiseth O A, Riddervold F, Forfang K, Vatne K, Frøysaker T
Tidsskr Nor Laegeforen. 1989 Apr 30;109(12):1268-70.
We present the results of an acute revascularisation program for unstable angina. Of the 63 consecutive patients included in the program 61 had significant coronary artery disease. Coronary bypass grafting was performed in 39 and percutaneous transluminal angioplasty in 9. There were two perioperative myocardial infarctions and one death in hospital. 13 patients were found unsuitable for revascularisation. At follow-up (14-26 months) 60 patients were still alive (95%). In the revascularised group 30 patients (65%) were free of angina pectoris. Accordingly, in patients who do not respond to medical therapy, acute revascularisation may be performed with low operative mortality, low incidence of perioperative myocardial infarctions, and good long term results.
我们展示了一项针对不稳定型心绞痛的急性血运重建计划的结果。在该计划纳入的63例连续患者中，61例患有严重冠状动脉疾病。39例行冠状动脉搭桥术，9例行经皮腔内血管成形术。围手术期发生2例心肌梗死，1例住院死亡。13例患者被发现不适合进行血运重建。随访（14 - 26个月）时，60例患者仍存活（95%）。在接受血运重建的组中，30例患者（65%）无心绞痛。因此，对于药物治疗无效的患者，急性血运重建术可在低手术死亡率、低围手术期心肌梗死发生率及良好长期效果的情况下进行。
