Basso C, Angelini A, Thiene G
Istituto di Anatomia Patologica, Università degli Studi, Padova.
Cardiologia. 1994 Dec;39(12 Suppl 1):47-51.
Balloon coronary angioplasty revascularization is accomplished through a remodelling of the atherosclerotic stenotic wall. Increase in lumen diameter is achieved by plaque cracking with intimal dissection, plaque compression and medial stretching. Acute complications are frequent (3-8%) and mostly consist of occlusive thrombosis occurring upon fissuring of atheromasic plaque, intimal flap with invagination, medio-adventitial dissection in the case of tearing of the tunica media, and atheromatous embolism. Healing process may be so exuberant as to lead to restenosis within a few months.
球囊冠状动脉血管成形术再血管化是通过对动脉粥样硬化狭窄管壁进行重塑来实现的。管腔直径的增加是通过伴有内膜剥脱的斑块破裂、斑块压缩和中膜伸展来实现的。急性并发症很常见（3%-8%），主要包括动脉粥样硬化斑块破裂时发生的闭塞性血栓形成、内膜瓣内陷、中膜撕裂时的中膜外膜夹层以及动脉粥样硬化栓塞。愈合过程可能非常旺盛，以至于在几个月内导致再狭窄。
