Rickards A F, Davies S W
Department of Cardiology, Royal Brompton Hospital, London, UK.
Curr Opin Cardiol. 1995 Jul;10(4):399-403. doi: 10.1097/00001573-199507000-00009.
Until 1977, coronary revascularization was only possible using open surgical techniques. Approximately 10 years after the introduction of coronary angioplasty, a series of major clinical trials comparing the outcome of patients treated by surgery and angioplasty were planned and executed. The results of these trials are now becoming available and show that in patients with symptomatic disease affecting one, two, or three vessels, angioplasty is a viable alternative to surgery. From a purely medical point of view, the advantages and disadvantages of the two techniques are so finely balanced that patients preference has become an important parameter in selection of a primary intervention.
直到1977年，冠状动脉血运重建只能通过开放手术技术来实现。在冠状动脉血管成形术引入大约10年后，一系列比较手术治疗和血管成形术治疗患者结局的大型临床试验被规划并实施。这些试验的结果现在已经可得，表明在患有影响一支、两支或三支血管的症状性疾病的患者中，血管成形术是手术的一种可行替代方案。从纯粹医学的角度来看，这两种技术的优缺点非常平衡，以至于患者的偏好已成为选择初始干预措施的一个重要参数。
