Danchin N, Joseph M, Juillière Y, Ethevenot G, Khalife K, Villemot J P, Cuillière M, Cherrier F
Service de Cardiologie B, CHU de Nancy-Brabois, Vandoeuvre-lès-Nancy.
Ann Cardiol Angeiol (Paris). 1988 Jun;37(6):297-9.
Between April 1980 and July 1986, 50 patients over 65 (32 men and 18 women; mean age: 72 years) were treated by transluminal coronary angioplasty. Before the dilatation, 58 p. cent of the patients presented a severe angor (class III or IV) and 44 p. cent were multi-truncular. The dilatation was successful in 39 patients (78%) and 13 patients developed a recurrent stenosis successfully treated in 9 instances by re-dilatation. Among the complications, there were 2 deaths (4%), 3 infarctions (6%) and 3 emergency coronary bypass operations (6%). With a mean 28 months follow-up, the overall survival is 92 p. cent. After a successful dilatation, 49 p. cent of the patients are completely asymptomatic and the subsequent cardiological hospitalizations are rare (11%). These results show that coronary dilatation represents an interesting therapeutic option in elderly coronary patients.
1980年4月至1986年7月期间，对50例65岁以上患者（32例男性，18例女性；平均年龄：72岁）进行了经皮冠状动脉腔内血管成形术治疗。扩张术前，58%的患者有严重心绞痛（Ⅲ级或Ⅳ级），44%为多支血管病变。39例患者（78%）扩张成功，13例出现再狭窄，其中9例通过再次扩张成功治疗。并发症包括2例死亡（4%）、3例心肌梗死（6%）和3例急诊冠状动脉搭桥手术（6%）。平均随访28个月，总生存率为92%。扩张成功后，49%的患者完全无症状，随后的心脏病住院情况很少见（11%）。这些结果表明，冠状动脉扩张是老年冠心病患者一种有意义的治疗选择。
