Campolo L, Casolo F, Pirelli S, Inglese E
G Ital Cardiol. 1984 Sep;14(9):717-9.
Since June 1981 until July 1983, 40 percutaneous transluminal coronary angioplasty procedures in 38 patients have been performed. Results in the whole series are as follows: stenosis crossed in 33 patients (83%); balloon inflation done in 31 (78%), not done in 2 due to clinical instability induced by crossing of the stenosis; successful dilatation obtained in 25 patients (63%); emergency bypass surgery in 6 patients (15%) with 2 perioperative myocardial infarctions; no deaths. The whole series can be subdivided in two groups by the following parameters: premedication by nitrates (A) or by verapamil (B); temporal concentration of the procedures: 1/month up to February 83 (A), 3.7/month thereafter (B). Results are different in the two groups: 21 attempts in 21 patients: stenosis crossed in 14 cases (67%), balloon inflated in 12 (57%), successful dilatation obtained in 8 patients (38%), emergency bypass in 5 patients (24%). 19 attempts in 17 patients (2 vessel angioplasty in 2 patients): stenosis crossed and balloon inflated in 19 (100%), successful dilatation in 17 cases (89%), uncomplicated emergency bypass in 1 patient (5%). On the basis of personal more recent results an optimistic attitude towards the percutaneous transluminal coronary angioplasty is justified.
从1981年6月至1983年7月，对38例患者进行了40次经皮腔内冠状动脉成形术。整个系列的结果如下：33例患者（83%）的狭窄被跨越；31例（78%）进行了球囊扩张，2例因狭窄跨越导致临床不稳定未进行；25例患者（63%）获得成功扩张；6例患者（15%）进行了急诊搭桥手术，其中2例围手术期发生心肌梗死；无死亡病例。整个系列可根据以下参数分为两组：术前使用硝酸盐（A组）或维拉帕米（B组）；手术时间集中程度：1983年2月前每月1次（A组），此后每月3.7次（B组）。两组结果不同：21例患者进行了21次尝试：14例（67%）的狭窄被跨越，12例（57%）进行了球囊扩张，8例患者（38%）获得成功扩张，5例患者（24%）进行了急诊搭桥。17例患者进行了19次尝试（2例患者进行了双支血管成形术）：19例（100%）的狭窄被跨越且进行了球囊扩张，17例（89%）获得成功扩张，1例患者（5%）进行了无并发症的急诊搭桥。基于个人最近的结果，对经皮腔内冠状动脉成形术持乐观态度是合理的。
