Kelly M E, Taylor G J, Moses H W, Mikell F L, Dove J T, Batchelder J E, Wellons H A, Schneider J A
J Am Coll Cardiol. 1985 Jan;5(1):16-20. doi: 10.1016/s0735-1097(85)80079-6.
A consecutive series of 78 patients having percutaneous transluminal coronary angioplasty for single vessel coronary artery disease and 85 patients having single vessel coronary artery bypass graft surgery were followed up prospectively for 1 year. Days in hospital and angiographic and revascularization procedures were counted in the two groups of patients and total cost of care for 12 months was calculated using current billing levels. Angioplasty was initially successful in 74% of patients; because of initial failure in 26% and late restenosis in 18%, bypass surgery was ultimately needed in 23 of 78 patients having coronary angioplasty. Nevertheless, total cost of care per patient was 43% lower for those having angioplasty as an initial procedure for single vessel coronary artery disease.
对78例因单支冠状动脉疾病接受经皮腔内冠状动脉成形术的患者以及85例接受单支冠状动脉搭桥手术的患者进行了为期1年的前瞻性随访。统计了两组患者的住院天数、血管造影和血运重建程序，并根据当前计费水平计算了12个月的总护理费用。血管成形术最初在74%的患者中取得成功；由于26%的患者最初手术失败以及18%的患者出现后期再狭窄，78例接受冠状动脉成形术的患者中有23例最终需要进行搭桥手术。然而，对于那些将血管成形术作为单支冠状动脉疾病初始治疗方法的患者，每位患者的总护理费用要低43%。
