Pfisterer M
Departement Innere Medizin, Kantonsspital Basel.
Schweiz Med Wochenschr. 1995 Oct 28;125(43):2080-3.
In elderly patients, who need to be treated increasingly for coronary artery disease, medical therapy is more difficult and the risks of coronary artery bypass graft surgery are markedly increased. PTCA is an alternative treatment with the aim of removing the culprit coronary artery lesion to relieve symptoms and improve quality of life rather than to achieve full revascularization in order to prolong life. Experiences and risks of PTCA compared to those of coronary artery bypass graft surgery in this special group of patients are described and discussed.
在因冠状动脉疾病而需要接受越来越多治疗的老年患者中，药物治疗更加困难，冠状动脉搭桥手术的风险也显著增加。经皮冠状动脉腔内血管成形术（PTCA）是一种替代治疗方法，其目的是消除导致问题的冠状动脉病变，以缓解症状并改善生活质量，而非实现完全血管重建以延长生命。本文描述并讨论了在这一特殊患者群体中，PTCA与冠状动脉搭桥手术相比的经验和风险。
