Dzhorgova Iu, Petrov I, Atsev B, Nachev G, Chirkov A
Khirurgiia (Sofiia). 1995;48(1):51-8.
The article reviews the results of PTCA in 164 patients in Hospital "St Ekaterina" in the period January 1994-April 1994.
Patients were divided in four groups: I Stable angina II Unstable angina a) primary stabilized b) refractory to medical treatment III Acute myocardial infarction (AMI) IV Silent ischaemia Patients were followed for: 1.) Acute complications a) mortality b) myocardial infarction (MI) c) emergency CABG 2.) Late complications a) recurrent angina b) MI c) elective CABG d) re-PTCA e) late mortality Follow-up period was 6-12 months
I group 1) acute complications--early mortality--0%; acute MI--0%; emergency CABG--5%; 2) Late complications--recurrent angina--8.4%; MI--1.5%; late mortality--0%; elective CABG--0%; re-PTCA--6.5%. I group 1) acute complications--early mortality--0%; acute MI--6%; emergency CABG--3%; 2) Late complications--late mortality--6%; recurrent angina--10%; MI--6%; elective CABG--1%; re-PTCA--14%. III group 1) acute complications-early mortality--0%; acute MI--17%; emergency CABG--17%; 2) Late complications--recurrent angina--17%; MI--17%; late mortality--17%; elective CABG--0%; re-PTCA--0%. IV group 1) acute complications--early mortality--0%; acute MI--0%; emergency CABG--0%; 2) recurrent angina--18%; late MI--0%; late mortality--0%; elective CABG--0%; re-PTCA--18%.
PTCA is a safe and reliable method for revascularization not only in patients with stable angina, but also in patients with acute coronary syndromes.