Mock M B, Holmes D R, Vlietstra R E, Gersh B J, Detre K M, Kelsey S F, Orszulak T A, Schaff H V, Piehler J M, Van Raden M J
Am J Cardiol. 1984 Jun 15;53(12):89C-91C. doi: 10.1016/0002-9149(84)90754-9.
Because CABG results in a significantly higher morbidity and prolonged hospitalization in the older patient group, PTCA is an attractive alternative for providing myocardial revascularization in the small group of older patients with appropriate lesions for dilation. This analysis of the results of PTCA in 370 older patients in the NHLBI PTCA Registry reveals that PTCA can be performed with acceptably low mortality and morbidity. Therefore, PTCA may offer an alternative to CABG in the highly selected symptomatic older patient.
由于冠状动脉旁路移植术(CABG)在老年患者组中导致显著更高的发病率和更长的住院时间,对于一小部分有适合扩张病变的老年患者,经皮冠状动脉腔内血管成形术(PTCA)是提供心肌血运重建的一种有吸引力的替代方法。对美国国立心肺血液研究所(NHLBI)PTCA注册研究中370例老年患者的PTCA结果分析显示,PTCA可以在死亡率和发病率可接受的较低水平下进行。因此,对于经过严格筛选的有症状老年患者,PTCA可能是CABG的一种替代方法。