Ban T, Sakata R, Soneda J, Matsuda M, Nishimura K, Hirata K, Mochizuki T
Jpn Circ J. 1985 Oct;49(10):1131-4. doi: 10.1253/jcj.49.1131.
Seven patients underwent aorto-coronary bypass grafting combined with intraoperative transluminal coronary angioplasty (OTCA), because of multiple obliteration of the coronary arteries with poor distal run-off. The patients were all males with a mean age of 52.6 years. For OTCA, a SIMPSON-ROBERT vascular dilator system was used. Eight stenoses in seven patients, four in the left anterior descending artery (LAD) and three in the right coronary artery (RCA) were dilated by means of OTCA. In five patients the results were satisfactory but in two patients the procedures resulted in failure. Dilatation failed because of severe calcification of LAD in one case and, in the other, distal RCA was completely obstructed by a compressed atherosclerotic plaque at the bifurcation after the procedure. From these limited experiences we believe that OTCA might be a method of selection to treat the patients with coronary sclerosis with poor distal run-off.
7例患者因冠状动脉多处闭塞且远端血流不佳，接受了主动脉-冠状动脉搭桥术联合术中经腔冠状动脉血管成形术（OTCA）。患者均为男性，平均年龄52.6岁。对于OTCA，使用了SIMPSON-ROBERT血管扩张器系统。7例患者中的8处狭窄，4处位于左前降支（LAD），3处位于右冠状动脉（RCA），通过OTCA进行了扩张。5例患者结果满意，但2例患者手术失败。1例因LAD严重钙化导致扩张失败，另1例在术后RCA远端在分叉处被一个受压的动脉粥样硬化斑块完全阻塞。从这些有限的经验来看，我们认为OTCA可能是治疗远端血流不佳的冠状动脉硬化患者的一种选择方法。
