Steffenino G, Meier B, Finci L, Velebit V, von Segesser L, Faidutti B, Rutishauser W
Cardiology Centre, University Hospital, Geneva, Switzerland.
Br Heart J. 1988 Feb;59(2):151-8. doi: 10.1136/hrt.59.2.151.
In 500 consecutive procedures of elective coronary angioplasty attempted at a centre with a primary success of 86%, one or more major acute complications occurred in 34 cases (6.8%). Twenty four patients (4.8%) sustained an acute myocardial infarction (in six this was despite emergency coronary artery bypass surgery) and two patients (0.4%) had emergency coronary bypass without myocardial infarction. Ventricular fibrillation was a complication without sequelae in five (1.0%) patients; one (0.2%) patient died because of refractory ventricular fibrillation and ensuing electromechanical dissociation. "Benign" coronary artery rupture occurred in one (0.2%) patient, and one (0.2%) patient had elective coronary surgery to retrieve the tip of a fractured guide wire after an otherwise successful angioplasty. Despite a low mortality, coronary angioplasty is associated with major complications in about one of 14 procedures; the complication is usually acute myocardial infarction caused by occlusion of the vessel.
在某中心进行的500例择期冠状动脉血管成形术连续操作中，首次成功率为86%，34例（6.8%）出现了一种或多种严重急性并发症。24例患者（4.8%）发生急性心肌梗死（其中6例尽管接受了急诊冠状动脉搭桥手术仍发生心肌梗死），2例患者（0.4%）接受了无心肌梗死的急诊冠状动脉搭桥手术。5例（1.0%）患者发生室颤但无后遗症；1例（0.2%）患者因顽固性室颤及随后的电机械分离死亡。1例（0.2%）患者发生“良性”冠状动脉破裂，1例（0.2%）患者在血管成形术成功后接受择期冠状动脉手术以取出断裂导丝的尖端。尽管死亡率较低，但冠状动脉血管成形术在约每14例操作中就有1例出现严重并发症；并发症通常是由血管闭塞引起的急性心肌梗死。
