Schmitt R, Sabatier M, Ratovo R, Isetta C, Elbèze J P, Jourdan J, Kreitmann P, Dor V
Arch Mal Coeur Vaiss. 1985 Feb;78(2):175-80.
The authors report their experience of transluminal coronary angioplasty (TCA) from February 1980 to November 1983. 140 patients underwent TCA and 155 procedures were performed. The mean age was 55 years (range 33 to 74 years). Clinically, the patients presented with Stage I angina in 26 cases (18 p. 100), Stage II in 18 cases (13 p. 100), Stage III in 24 cases (17 p. 100) and Stage IV in 72 cases (52 p. 100), according to the NYHA Classification. 23 patients (16.5 p. 100) underwent combined thrombolysis - TCA. The coronary artery disease was limited to a single vessel in 135 cases (96 p. 100) and involved 2 vessels in 5 cases (4 p. 100). The overall results showed a 71 p. 100 primary success rate. There were no fatalities. The incidence of myocardial infarction was 3 p. 100 (5 patients) and emergency coronary bypass surgery was necessary in 16 patients (10 p. 100). The results in two groups of patients were compared: Group A: 69 patients treated with a conventional balloon catheter. Group B: 86 patients treated with a balloon catheter with a guide wire. The coronary stenosis was catheterised in 73 p. 100 of patients in Group A, and 90 p. 100 of patients in Group B (p less than 0.01). The primary success rate was 56 p. 100 in Group A and 83 p. 100 in Group B. The use of this new material improves the primary success rate and also makes more distal, anatomically atypical lesions, accessible.
作者报告了他们在1980年2月至1983年11月期间进行经皮腔内冠状动脉成形术（TCA）的经验。140例患者接受了TCA，共进行了155次手术。平均年龄为55岁（范围33至74岁）。根据纽约心脏协会（NYHA）分类，临床上，26例患者（18%）表现为I级心绞痛，18例患者（13%）表现为II级，24例患者（17%）表现为III级，72例患者（52%）表现为IV级。23例患者（16.5%）接受了溶栓 - TCA联合治疗。135例患者（96%）的冠状动脉疾病局限于单支血管，5例患者（4%）累及2支血管。总体结果显示，主要成功率为71%。无死亡病例。心肌梗死发生率为3%（5例患者），16例患者（10%）需要进行急诊冠状动脉搭桥手术。对两组患者的结果进行了比较：A组：69例患者接受传统球囊导管治疗。B组：86例患者接受带导丝的球囊导管治疗。A组73%的患者、B组90%的患者成功进行了冠状动脉狭窄插管（p<0.01）。A组的主要成功率为56%，B组为83%。这种新材料的使用提高了主要成功率，也使更多远端、解剖结构不典型的病变能够得到治疗。
