Kober G, Vallbracht C, Giesecke R, Grützmacher P, Fassbinder W, Kaltenbach M
Dtsch Med Wochenschr. 1985 Jan 25;110(4):129-34. doi: 10.1055/s-2008-1068785.
Six patients with chronic renal failure (two in the predialysis state; four chronically dialysed of whom two were after renal transplantation) were treated by transluminal coronary angioplasty for severe angina and ischaemic ECG changes. In 5 patients the successful dilatation of six stenoses resulted in good clinical and angiographic findings for a follow-up period of up to 3 years. One patient had to have an emergency bypass operation. If coronary revascularisation is indicated, transluminal coronary angioplasty is thus to be preferred to primary bypass operation in patients with chronic renal failure, because it is less invasive, relatively cheap and can be more easily repeated in case of recurrence or new stenoses.
6例慢性肾衰竭患者（2例处于透析前状态；4例长期接受透析，其中2例为肾移植后）因严重心绞痛和缺血性心电图改变接受了经皮冠状动脉腔内血管成形术治疗。5例患者成功扩张了6处狭窄病变，在长达3年的随访期内，临床和血管造影结果良好。1例患者不得不接受急诊搭桥手术。因此，如果有冠状动脉血运重建的指征，对于慢性肾衰竭患者，经皮冠状动脉腔内血管成形术比初次搭桥手术更可取，因为它创伤性较小、相对便宜，并且在复发或出现新的狭窄时更容易重复进行。
