Kober G, Vallbracht C, Lang H, Bussmann W D, Hopf R, Kunkel B, Kaltenbach M
Radiologe. 1985 Aug;25(8):346-53.
Transluminal coronary angioplasty (TCA) was introduced in 1977 for dilatation of coronary stenoses. From October 1977 to December 1984 1087 procedures have been performed in Frankfurt. The mean success rate was 77% with an increase from 58% to 84% since 1977. Recurrences were seen within the first year in 15% of the patients, which could be treated successfully in a high percentage with a second TCA. Emergency bypass operations were necessary in 5.2%. Four patients (fatality rate 0.37%) died as consequence of the intervention. Within few years TCA has become an established procedure for myocardial revascularisation, with a high success rate. Major progress has been possible in the last few years due to technical developments, which are still going on. They may lead to further improvement of the results and enlargement of the indication for TCA.
经皮腔内冠状动脉成形术(TCA)于1977年被引入用于扩张冠状动脉狭窄。1977年10月至1984年12月期间,在法兰克福共进行了1087例该手术。平均成功率为77%,自1977年以来从58%提高到了84%。15%的患者在第一年出现复发,其中大部分患者可通过再次TCA成功治疗。5.2%的患者需要进行急诊搭桥手术。4例患者(死亡率0.37%)因手术干预死亡。在短短几年内,TCA已成为一种成熟的心肌血运重建手术,成功率很高。由于技术的不断发展,过去几年取得了重大进展,并且仍在继续。这些发展可能会进一步改善手术效果并扩大TCA的适应症。