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经皮腔内冠状动脉成形术:对未成功手术的分析以指导改善治疗结果

Percutaneous transluminal coronary angioplasty: analysis of unsuccessful procedures as a guide toward improved results.

作者信息

Baim D S

出版信息

Cardiovasc Intervent Radiol. 1982;5(3-4):186-93. doi: 10.1007/BF02552308.

DOI:10.1007/BF02552308
PMID:6217890
Abstract

Technical success in percutaneous transluminal coronary angioplasty (PTCA) is a function of patient selection, operator experience, and the capabilities of the angioplasty equipment employed. When unsuccessful PTCA occurs, it is the result of one of several factors: (1) a failure to cross the stenosis; (2) a failure to dilate the stenosis; (3) an ischemic complication; or (4) a late recurrence of the anginal syndrome. In this paper, we discuss the relative frequency of these types of failure, and the ways in which improvements in technique and/or equipment may be employed to improve the chance of a successful procedure.

摘要

经皮腔内冠状动脉成形术(PTCA)的技术成功取决于患者的选择、术者的经验以及所使用的血管成形术设备的性能。当PTCA失败时,是由以下几个因素之一导致的:(1)未能穿过狭窄部位;(2)未能扩张狭窄部位;(3)缺血性并发症;或(4)心绞痛综合征的晚期复发。在本文中,我们讨论了这些类型失败的相对发生率,以及可采用改进技术和/或设备的方法来提高手术成功的几率。

相似文献

1
Percutaneous transluminal coronary angioplasty: analysis of unsuccessful procedures as a guide toward improved results.经皮腔内冠状动脉成形术:对未成功手术的分析以指导改善治疗结果
Cardiovasc Intervent Radiol. 1982;5(3-4):186-93. doi: 10.1007/BF02552308.
2
Treatment of angina pectoris by percutaneous transluminal coronary angioplasty.经皮腔内冠状动脉成形术治疗心绞痛
Jpn Circ J. 1982 Apr;46(4):323-8. doi: 10.1253/jcj.46.323.
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Coronary angioplasty 1985: technical and clinical considerations.1985年冠状动脉血管成形术:技术与临床考量
Herz. 1985 Oct;10(5):269-74.
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Clinical experience of percutaneous transluminal coronary angioplasty.
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Am Heart J. 1983 Mar;105(3):527-30. doi: 10.1016/0002-8703(83)90382-4.
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Changes in cross-sectional area of the coronary lumen in the six months after angioplasty: a quantitative analysis of the variable response to percutaneous transluminal angioplasty.血管成形术后六个月冠状动脉管腔横截面积的变化:对经皮腔内血管成形术可变反应的定量分析。
Circulation. 1986 Mar;73(3):467-75. doi: 10.1161/01.cir.73.3.467.
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Cathet Cardiovasc Diagn. 1982;8(3):233-42. doi: 10.1002/ccd.1810080305.
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Percutaneous transluminal coronary angioplasty of the "culprit lesion" for management of unstable angina pectoris in patients with multivessel coronary artery disease.
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Am J Cardiol. 1984 Jun 15;53(12):32C-35C. doi: 10.1016/0002-9149(84)90742-2.

本文引用的文献

1
Transluminal angioplasty: correlation of morphologic and angiographic findings in an experimental model.腔内血管成形术:实验模型中形态学与血管造影结果的相关性
Circulation. 1980 Apr;61(4):778-85. doi: 10.1161/01.cir.61.4.778.
2
Percutaneous transluminal coronary angioplasty: initial Mayo Clinic experience.经皮腔内冠状动脉成形术:梅奥诊所的初步经验。
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3
Efficacy of percutaneous transluminal coronary angioplasty: technique, patient selection, salutary results, limitations and complications.经皮腔内冠状动脉成形术的疗效:技术、患者选择、有益结果、局限性及并发症
Am Heart J. 1981 Mar;101(3):272-80. doi: 10.1016/0002-8703(81)90190-3.
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A new catheter system for coronary angioplasty.一种用于冠状动脉血管成形术的新型导管系统。
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5
Results from coronary angioplasty and implications for the future.冠状动脉血管成形术的结果及其对未来的影响。
Am Heart J. 1982 Apr;103(4 Pt 2):779-83. doi: 10.1016/0002-8703(82)90486-0.
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Improved myocardial function during exercise after successful percutaneous transluminal coronary angioplasty.
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Transluminal coronary angioplasty of postmortem human hearts.
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8
Percutaneous transluminal coronary angioplasty: report from the Registry of the National Heart, Lung, and Blood Institute.经皮腔内冠状动脉成形术:美国国立心肺血液研究所注册报告
Am J Cardiol. 1982 Jun;49(8):2011-20. doi: 10.1016/0002-9149(82)90223-5.
9
Nonoperative dilatation of coronary-artery stenosis: percutaneous transluminal coronary angioplasty.冠状动脉狭窄的非手术扩张:经皮腔内冠状动脉成形术。
N Engl J Med. 1979 Jul 12;301(2):61-8. doi: 10.1056/NEJM197907123010201.