Szatmary L, Marco J, Fajadet J, Caster L, Carrie D
Centre Hospitalier Universitaire Toulouse-Purpan, Service de Hemodynamique, France.
Acta Med Hung. 1987;44(2-3):189-200.
Fifteen patients with severely damaged coronary circulation required temporary intraaortic balloon counterpulsation for pharmacologically uncontrollable chest pain and poor haemodynamic state (hypotension or shock) in connection with the transluminal coronary angioplasty procedure. Twenty-five angioplasties were attempted (1.75 artery stem/patient) with a primary success rate of 96%. Emergency surgery was performed only once (6.6%) and no death occurred after the percutaneous therapeutic procedures. One patient died due to a cerebrovascular accident, two other patients suffered sudden death 1 and 3 months later. Two patients finally required coronary bypass surgery, and one patient a repeated angioplasty. In the follow-up period (mean = 11 months), two patients presented moderate symptoms of stable angina pectoris, and 10 patients (83%) remained in satisfactory condition. Temporary diastolic counterpulsation provided in patients with pharmacologically refractory myocardial ischaemia and hypotension or shock an important protection for performing transluminal angioplasty in a good condition, with improved remaining coronary circulation and haemodynamic state, assuring a favourable hospital survival.
15例冠状动脉循环严重受损的患者因药物治疗无法控制的胸痛和与经皮冠状动脉腔内血管成形术相关的血流动力学状态不佳（低血压或休克）而需要进行主动脉内球囊反搏。共尝试了25次血管成形术（每位患者1.75个动脉干），首次成功率为96%。仅进行了1次急诊手术（6.6%），经皮治疗术后无死亡病例。1例患者死于脑血管意外，另外2例患者在1个月和3个月后猝死。2例患者最终需要进行冠状动脉搭桥手术，1例患者需要再次进行血管成形术。在随访期（平均11个月），2例患者出现中度稳定型心绞痛症状，10例患者（83%）情况良好。对于药物治疗无效的心肌缺血和低血压或休克患者，临时舒张期反搏可为顺利进行经皮血管成形术提供重要保护，改善剩余冠状动脉循环和血流动力学状态，确保良好的住院生存率。
